Individual provider Active NPI

Erik S Ornstein, O.D.

  • Optometrist
  • Scottsdale, AZ
National Provider Identifier
1699764704
Registry record updated Nov 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
AZ1192 Issued in AZ
Practice address
14256 N Northsight Blvd Ste 120
Scottsdale, AZ 85260-3954
Phone
(623) 249-7589
Fax
(623) 889-2452
NPI assigned
Oct 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X AZ1192 AZ Primary

Addresses

Primary practice location

14256 N Northsight Blvd Ste 120
Scottsdale, AZ 85260-3954

Mailing address

14256 N Northsight Blvd Ste 120
Scottsdale, AZ 85260-3954
Phone (623) 249-7589

Other identifiers 1

IdentifierTypeStateIssuer
AZ0424040OtherAZBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051207001043 AZ Practitioner - Optometry 2567483431 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brandon Suedekum MD, PCGroup PAC ID 3779915558, 4 clinicians

Practice addresses (Care Compare)

14256 N Northsight Blvd
Suite 120
Scottsdale, AZ 85260-3954
Phone (623) 249-7589

Merit-based Incentive Payment System (MIPS)

Final score
92.65 of 100Reported as group
Quality
98.47
Improvement activities
40
Cost
77.53

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AZ1192AZMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Brandon Suedekum MD, PC CurrentSince Jun 1, 2020 Accepting new patients
Midwestern University Optometrist CurrentSince Jan 5, 2014 Accepting new patients
Midwestern University Optometrist CurrentSince Jan 5, 2014 Accepting new patients
Emergency Medical & Surgical Specialists of Colorado LLC Past Accepting new patients

Locations

19389 N 59th Ave
Glendale, AZ 85308

14256 N Northsight Blvd
Ste 120
Scottsdale, AZ 85260
Phone (480) 212-1185

26520 Network Pl
Chicago, IL 60673
Phone (630) 743-4500

Interoperability endpoints

  • Direct secure messaging: erik.ornstein.p3@direct.midwesternuniversity.nextgenshare.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635724800000",
    "number": "1699764704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14256 N NORTHSIGHT BLVD STE 120",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852603954",
            "telephone_number": "623-249-7589",
            "fax_number": "623-889-2452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14256 N NORTHSIGHT BLVD STE 120",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852603954",
            "telephone_number": "623-249-7589",
            "fax_number": "623-889-2452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORNSTEIN",
        "first_name": "ERIK",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "AZ1192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AZ0424040",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.