Ophthalmic Surgeons & Physicians LTD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

OPHTHALMIC SURGEONS & PHYSICIANS LTD

Practice address

3200 S Country Club Way
Tempe, AZ 85282-4054

Phone

(480) 360-2020

Fax

(480) 839-0208

NPI assigned

Feb 14, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lisa Mansueto, MDNPI 1396742797

Title

Member Manager

Phone

(480) 360-2020

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa Ann Mansueto, M.D.

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Tempe, AZ
  • NPI 1396742797

  Ophthalmology

  Medicare reassignment Care Compare group NPD Authorized official
• Camille M Hylton, MD

  • Ophthalmology Physician
  • Tempe, AZ
  • NPI 1629019732
  Medicare reassignment Care Compare group NPD
• Bertram T Matsumoto, MD

  • Ophthalmology Physician
  • Tempe, AZ
  • NPI 1477557494
  Medicare reassignment Care Compare group NPD
• Danielle Remington, O.D.

  • Optometrist
  • Tempe, AZ
  • NPI 1780098806
  Medicare reassignment Care Compare group NPD
• Richard Leslie Sherry, M.D.

  • Ophthalmology Physician
  • Tempe, AZ
  • NPI 1588656276
  Medicare reassignment Care Compare group NPD
• Bryan Grossman, OD

  • Optometrist
  • Sacaton, AZ
  • NPI 1801467790
  Medicare reassignment Care Compare group
• Emmanuel Harold Kai-Lewis, M.D.

  • Ophthalmology Physician
  • Tempe, AZ
  • NPI 1376749184
  NPD
• Jacquelyn Laplant

  • Ophthalmology Physician
  • Tempe, AZ
  • NPI 1033572375
  NPD
• Brian D. Dudenhoefer, MD

  • Ophthalmology Physician
  • Saginaw, MI
  • NPI 1518961556
  NPD (past)
• Cameron Campbell Johnson, M.D.

  • Ophthalmology Physician
  • Canton, GA
  • NPI 1417923657
  NPD (past)
• Wendy Sanders-Maubach, O.D.

  • Optometrist
  • Ottawa, IL
  • NPI 1346238664
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694995200000",
    "number": "1689648925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 S COUNTRY CLUB WAY",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852824054",
            "telephone_number": "480-360-2020",
            "fax_number": "480-839-0208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 S COUNTRY CLUB WAY",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852824054",
            "telephone_number": "480-360-2020",
            "fax_number": "480-839-0208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPHTHALMIC SURGEONS & PHYSICIANS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-14",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A",
        "authorized_official_last_name": "MANSUETO",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "480-360-2020",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE",
            "identifier": "ZWCJCC",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Op Pharmacy LLC (OnePoint Patient Care)
• Kara Opel, CCC-SLP
• Open Hand LLC
• Open Hearts
• Open Hearts
• Tracey S. Oppenheim, M.D.
• Akwasi Oppong
• Optimal Health Center
• Optimal Hospice Inc
• Optimal Practice

• Ophthalmology Physician in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Ophthalmology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.