Northland Eye Care PC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

AZ1203 Issued in AZ

Legal business name

NORTHLAND EYE CARE PC

Practice address

2050 S Woodlands Village Blvd Ste 3
Flagstaff, AZ 86001-2972

Phone

(928) 226-9300

Fax

(928) 226-8651

NPI assigned

Mar 18, 2008

Last updated

Jan 25, 2022By 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

Heidi M Hipsher, LDO

Title

Office Manager

Phone

(928) 226-9300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 1

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.

• Daniel Eugene Thomas, O.D.

  • Optometrist
  • Flagstaff, AZ
  • NPI 1013971282
  Medicare reassignment

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1780855668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 S WOODLANDS VILLAGE BLVD STE 3",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860012972",
            "telephone_number": "928-226-9300",
            "fax_number": "928-226-8651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 S WOODLANDS VILLAGE BLVD STE 3",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860012972",
            "telephone_number": "928-226-9300",
            "fax_number": "928-226-8651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHLAND EYE CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A",
        "authorized_official_last_name": "HIPSHER",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "928-226-9300",
        "authorized_official_credential": "LDO"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "AZ",
            "license": "AZ1203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northern Arizona Surgicenter, LLC
• Northern Arizona University
• Northern Arizona University (AZ Board of Regents on Behalf of Northern Arizona University)
• Northern Arizona University
• Northern Arizona Urology
• Northland Family Help Center
• Northland Family Help Center
• Northland Hospice & Palliative Care (Olivia White Hospice HOme)
• Northland Hospice & Palliative Care Inc (Elaine's Forest House)
• Northland Hospice & Palliative Care Inc

• Eyewear Supplier in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Eyewear Supplier in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.