Valley Eye Care Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1522 Issued in AZ

Legal business name

VALLEY EYE CARE INC.

Doing business as

Valley Eyecare Center

Practice address

1111 E Northern Ave Ste B
Phoenix, AZ 85020-4188

Phone

(602) 242-6888

Fax

(602) 242-4654

NPI assigned

Aug 16, 2006

Last updated

Sep 20, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lindsey M Clyde, O.D.NPI 1427018282

Title

Optometrist

Phone

(602) 242-6888

Specialties & licenses 4

Addresses

Other names 1

• Valley Eyecare Center Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ2 enrollments

Enrollment records 2

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

Medicare medical equipment & supply locations

Locations

Practitioners 8

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.

• Lindsey Michelle Clyde, O.D.

  • Optometrist
  • Phoenix, AZ
  • NPI 1427018282
  Medicare reassignment Care Compare group NPD Authorized official
• Eric Michael Clyde, OD

  • Optometrist
  • Phoenix, AZ
  • NPI 1477783421
  Medicare reassignment Care Compare group NPD
• Peter T Ryan, OD

  • Optometrist
  • Phoenix, AZ
  • NPI 1730150319
  Medicare reassignment Care Compare group NPD
• Tyler Justin Stathis, OD

  • Optometrist
  • Scottsdale, AZ
  • NPI 1457977928
  Medicare reassignment Care Compare group NPD
• Seth Dean Baldwin, OD

  • Optometrist
  • Fountain, CO
  • NPI 1710264072

  AZ

  Medicare reassignment NPD
• Garo Harmanian, D.O.

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1568591931
  NPD (past)
• Mel S Moss, O.D.

  • Optometrist
  • Phoenix, AZ
  • NPI 1114035524
  NPD (past)
• Todd R. Smith, O.D.

  • Optometrist
  • Peoria, AZ
  • NPI 1023003753
  NPD (past)

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568937600000",
    "number": "1780797613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1241 E NORTHERN AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850204277",
            "telephone_number": "602-242-6888",
            "fax_number": "602-242-4654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 E NORTHERN AVE STE B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850204188",
            "telephone_number": "602-242-6888",
            "fax_number": "602-242-4654"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3050 N 44th St",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850187265",
            "country_code": "US",
            "telephone_number": "602-955-2700",
            "fax_number": "602-955-3282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VALLEY EYE CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2019-09-20",
        "status": "A",
        "authorized_official_last_name": "CLYDE",
        "authorized_official_first_name": "LINDSEY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "602-242-6888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1522",
            "primary": true
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "AZ",
            "license": "1522",
            "primary": false
        },
        {
            "code": "156FC0800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Contact Lens",
            "state": "AZ",
            "license": "1522",
            "primary": false
        },
        {
            "code": "156FC0801X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Contact Lens Fitter",
            "state": "AZ",
            "license": "1522",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Eyecare Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Valley Eyecare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Valley Dental Group, LTD
• Valley Dentures and Implants- Chandler (Valley Dentures and Implants)
• Valley Emergency Physicians Inc
• Valley Empower Corp.
• Valley Eye Associates PLLC
• Valley Fine Services, LLC
• Valley Foot Care, Inc.
• Valley Geriatric Associates PLLC
• Valley Group Homes LLC
• Valley Home Behavioral Health LLC

• Optometrist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; 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.