The Chandrasi Eye Group, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1025 Issued in AZ

Legal business name

THE CHANDRASI EYE GROUP, LLC

Practice address

6555 E Southern Ave
Suite A22
Mesa, AZ 85206-3718

Phone

(602) 492-2016

Fax

(480) 302-5267

NPI assigned

Nov 10, 2010

Last updated

Nov 10, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nainesh C Bhakta, O.D.NPI 1306980339

Title

President/Optometrist

Phone

(602) 315-5201

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nainesh C Bhakta, O.D.

  • Optometrist
  • Gilbert, AZ
  • NPI 1306980339
  NPD (past) Authorized official

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

{
    "created_epoch": "1289347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289347200000",
    "number": "1689975476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 E ELGIN ST",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852951581",
            "telephone_number": "602-315-5201",
            "fax_number": "480-302-5267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6555 E SOUTHERN AVE",
            "address_2": "SUITE A22",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852063718",
            "telephone_number": "602-492-2016",
            "fax_number": "480-302-5267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CHANDRASI EYE GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-10",
        "last_updated": "2010-11-10",
        "status": "A",
        "authorized_official_last_name": "BHAKTA",
        "authorized_official_first_name": "NAINESH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT/OPTOMETRIST",
        "authorized_official_telephone_number": "602-315-5201",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.