Scottsdale Eye Institute, PLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

OSC 3901 Issued in AZ

Legal business name

SCOTTSDALE EYE INSTITUTE, PLC

Practice address

215 S Power Rd Ste 112
Mesa, AZ 85206-5236

Phone

(480) 981-1345

Fax

(480) 981-3721

NPI assigned

Feb 1, 2007

Organization subpart

Yes

Parent organization

SCOTTSDALE EYE INSTITUTE, PLCAs reported in NPPES

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

Authorized official

Name

Dr. Tariq Qamar, M.D.NPI 1134105034

Title

Owner

Phone

(480) 981-1345

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Scottsdale Eye Institute, PLC Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Listed as

Scottsdale Eye Institute PLCCCN 03C0001244

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Scottsdale Eye Institut

Locations

Practitioners 2

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

• Tariq Qamar, M.D.

  • Specialist
  • Scottsdale, AZ
  • NPI 1134105034
  NPD Authorized official
• Trenton James Bowen, M.D.

  • Glaucoma Specialist (Ophthalmology) Physician
  • Gilbert, AZ
  • NPI 1609220979
  NPD (past)

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364169600000",
    "number": "1720125156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 S POWER RD STE 112",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852065236",
            "telephone_number": "480-981-1345",
            "fax_number": "480-981-3721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 S POWER RD STE 112",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852065236",
            "telephone_number": "480-981-1345",
            "fax_number": "480-981-3721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTTSDALE EYE INSTITUTE, PLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SCOTTSDALE EYE INSTITUTE, PLC",
        "enumeration_date": "2007-02-01",
        "last_updated": "2013-03-25",
        "status": "A",
        "authorized_official_last_name": "QAMAR",
        "authorized_official_first_name": "TARIQ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-981-1345",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "AZ",
            "license": "OSC 3901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN  Z108319",
            "identifier": "Z108319",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scottsdale Eye Institute, PLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julia M. Scott, PA-C
• Linda L Scott, L.AC.
• Michala Ann Scott, PA-C
• Spencer Casey Scott, DO
• Terrel Scott, BHT
• Scottsdale Healthcare Corp
• Scottsdale Pediatric Dentistry
• Fredrick Scotty, CPHT
• Audrey Rose Scull, RBT
• Adeana Leigh Sczerba, MED, BCBA, LBA

• Ambulatory Surgical Clinic/Center in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Ambulatory Surgical Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.