Active NPI
Kay Chan Powell
- Optometrist
- Tempe, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2171
- Practice address
- 1720 E Warner Rd Ste 9
Tempe, AZ 85284-4542 - Phone
- (480) 758-4804
- Fax
- (480) 940-1832
- NPI assigned
- Apr 29, 2016
- 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 | 2171 | AZ | Primary |
Addresses
Primary practice location
1720 E Warner Rd Ste 9
Tempe, AZ 85284-4542
Mailing address
1424 S Silverado St
Gilbert, AZ 85296-4179
Phone (608) 516-9285
Other practice location 1
3570 S Val Vista Dr Ste R-105
Gilbert, AZ 85297-7326
Phone (480) 899-2381
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 |
|---|---|---|---|---|
| I20170614001729 | AZ | Practitioner - Optometry | 1153613013 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1720 E Warner Rd
Suite 9
Tempe, AZ 85284-4542
Phone (480) 785-4804
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2171 | AZ | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amanda Misinco, PLLC | Current | Accepting new patients | |
| MVP.Vision | Optometrist | Current | Accepting new patients |
| Eye Care Clinic P.C. | Optometrist | Current | Accepting new patients |
| Accurate Family Vision, PLLC | Optometrist | Current | Accepting new patients |
| Carlos L Grandela O.D. PLC | Current | Accepting new patients |
Locations
1780 E Boston St
Ste 101
Gilbert, AZ 85295
Phone (480) 813-7050
3570 S Val Vista Dr
Ste R105
Gilbert, AZ 85297
Phone (480) 899-2381
3570 S Val Vista Dr
Ste 105
Gilbert, AZ 85297
Phone (480) 899-2381
3570 S Val Vista Dr
#R105
Gilbert, AZ 85297
1830 S Alma School Rd
Ste 131
Mesa, AZ 85210
Phone (480) 695-2595
10001 W Bell Rd
Ste 115
Sun City, AZ 85351
Phone (623) 583-2800
1720 E Warner Rd
Ste 9
Tempe, AZ 85284
Phone (480) 758-4804
Organizations & group practices 5
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
- Gilbert, AZ
- NPI 1902445604
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732147200000",
"number": "1770938441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1424 S SILVERADO ST",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852964179",
"telephone_number": "608-516-9285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1720 E WARNER RD STE 9",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852844542",
"telephone_number": "480-758-4804",
"fax_number": "480-940-1832"
}
],
"practiceLocations": [
{
"address_1": "3570 S Val Vista Dr Ste R-105",
"address_purpose": "LOCATION",
"city": "Gilbert",
"state": "AZ",
"postal_code": "852977326",
"country_code": "US",
"telephone_number": "480-899-2381",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POWELL",
"first_name": "KAY",
"middle_name": "CHAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-29",
"last_updated": "2024-11-21",
"certification_date": "2024-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AZ",
"license": "2171",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; 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.