Individual provider Active NPI

Jennifer Liliana Avina, OD

  • Optometrist
  • Phoenix, AZ
National Provider Identifier
1700570348
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT-002705 Issued in AZ
Practice address
2330 N 75TH Ave Ste 101
Phoenix, AZ 85035-1200
Phone
(623) 703-7690
NPI assigned
Jun 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT-002705 AZ Primary

Addresses

Primary practice location

2330 N 75TH Ave Ste 101
Phoenix, AZ 85035-1200

Mailing address

19341 W Seldon LN
Waddell, AZ 85355-9904
Phone (623) 703-7690

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
I20240908000138 AZ Practitioner - Optometry 8921548744 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dnanda Eyecare PLLCGroup PAC ID 7911381959, 10 clinicians

Practice addresses (Care Compare)

2330 N 75TH Ave
Suite 101
Phoenix, AZ 85035-1200
Phone (623) 849-8726

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Nez and Associates Inc Optometrist CurrentSince Jun 29, 2024 Accepting new patients
DN&a Eyecare PLLC Optometrist Current Accepting new patients

Locations

3111 W Chandler Blvd
Ste 2104
Chandler, AZ 85226
Phone (480) 726-7009

7071 N 138th Ave
Bldg 1540
Glendale, AZ 85307
Phone (623) 248-4275

1649 S Stapley Dr
Ste 108
Mesa, AZ 85204
Phone (480) 345-7520

2330 N 75th Ave
Ste 101
Phoenix, AZ 85035
Phone (623) 849-8150

Organizations & group practices 2

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": "1686009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1700570348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19341 W SELDON LN",
            "city": "WADDELL",
            "state": "AZ",
            "postal_code": "853559904",
            "telephone_number": "623-703-7690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 N 75TH AVE STE 101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850351200",
            "telephone_number": "623-703-7690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVINA",
        "first_name": "JENNIFER",
        "middle_name": "LILIANA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-06",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-002705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.