NPIMap

Organization Active NPI

Az Home Eye Care Inc

  • Optometrist
  • Glendale, AZ
National Provider Identifier
1720201452
Registry record updated Dec 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
551 Issued in AZ
Legal business name
AZ HOME EYE CARE INC
Practice address
5620 W Thunderbird Rd
#H-3
Glendale, AZ 85306-4636
Phone
(602) 424-0866
NPI assigned
Apr 11, 2007
Last updated
Dec 16, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2014

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

Authorized official

Name
Dr. Brian Andrew Mach, O.DNPI 1093711939
Title
Doctor
Phone
(602) 424-0866

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 551 AZ Primary

Addresses

Primary practice location

5620 W Thunderbird Rd
#H-3
Glendale, AZ 85306-4636

Mailing address

PO Box 16996
Phoenix, AZ 85011-6996
Phone (602) 424-0866

National Provider Directory

National Provider Directory

Locations

5620 W Thunderbird Rd
Ste H3
Glendale, AZ 85306
Phone (602) 424-0866

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418688000000",
    "number": "1720201452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16996",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850116996",
            "telephone_number": "602-424-0866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5620 W THUNDERBIRD RD",
            "address_2": "#H-3",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064636",
            "telephone_number": "602-424-0866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZ HOME EYE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2014-12-16",
        "status": "A",
        "authorized_official_last_name": "MACH",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "602-424-0866",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2014; 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.