Active NPI
Jennifer Liliana Avina, OD
- Optometrist
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT-002705
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 PLLC
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Nez and Associates Inc | Optometrist | Current | 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.
-
- Optometrist
- Chandler, AZ
- NPI 1902492010
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.