Organization Active NPI

Diabetic Eye Care Specialists LLC

Doing business as Dr. David J Anderson

  • Optometrist
  • Scottsdale, AZ
National Provider Identifier
1710245121
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
AZ0822 Issued in AZ
Legal business name
DIABETIC EYE CARE SPECIALISTS LLC
Doing business as
Dr. David J Anderson
Practice address
7509 E 1St St
Scottsdale, AZ 85251-4501
Phone
(602) 279-5855
NPI assigned
Apr 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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

Authorized official

Name
Dr. David J Anderson, ODNPI 1699818260
Title
Owner
Phone
(602) 214-1007

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X AZ0822 AZ Primary

Addresses

Primary practice location

7509 E 1St St
Scottsdale, AZ 85251-4501

Mailing address

4350 E Camelback Rd Ste B120
Phoenix, AZ 85018-8326
Phone (602) 279-5855

Other names 1

  • Dr. David J Anderson Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120813000750 AZ Part B Supplier - Clinic/Group Practice 6103072822 Receives reassigned benefits from 2 practitioners
Practice locations: Scottsdale, AZ

National Provider Directory

National Provider Directory

Locations

11022 N 28th Dr
Ste 250
Phoenix, AZ 85029

7509 E 1st St
Scottsdale, AZ 85251
Phone (602) 279-5855

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771545600000",
    "number": "1710245121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4350 E CAMELBACK RD STE B120",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850188326",
            "telephone_number": "602-279-5855",
            "fax_number": "602-926-8808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7509 E 1ST ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852514501",
            "telephone_number": "602-279-5855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETIC EYE CARE SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-24",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-214-1007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "AZ0822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. David J Anderson",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dr. David J Anderson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.