Organization Active NPI

Eyetech Digital Systems, Inc.

Doing business as EyeTech

  • Durable Medical Equipment & Medical Supplies
  • Tempe, AZ
National Provider Identifier
1699977793
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
EYETECH DIGITAL SYSTEMS, INC.
Doing business as
EyeTech
Practice address
2141 E Broadway Rd Ste 202
Tempe, AZ 85282-1895
Phone
(480) 704-3158
Fax
(480) 610-1899
NPI assigned
Jun 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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

Authorized official

Name
Rachel Lord
Title
Dir. of Regulatory and Compliance
Phone
(201) 841-7975

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

2141 E Broadway Rd Ste 202
Tempe, AZ 85282-1895

Mailing address

2141 E Broadway Rd Ste 202
Tempe, AZ 85282-1895
Phone (480) 704-3158

Other names 1

  • EyeTech Doing business as

National Provider Directory

National Provider Directory

Locations

1128 E Greenway St
Ste 1
Mesa, AZ 85203

2141 E Broadway Rd
Ste 202
Tempe, AZ 85282
Phone (480) 704-3158

NPI Registry JSON

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642636800000",
    "number": "1699977793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2141 E BROADWAY RD STE 202",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852821895",
            "telephone_number": "480-704-3158",
            "fax_number": "480-610-1899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2141 E BROADWAY RD STE 202",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852821895",
            "telephone_number": "480-704-3158",
            "fax_number": "480-610-1899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYETECH DIGITAL SYSTEMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-01",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-19",
        "status": "A",
        "authorized_official_last_name": "LORD",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "DIR. OF REGULATORY AND COMPLIANCE",
        "authorized_official_telephone_number": "201-841-7975"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EyeTech",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; 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.