NPIMap

Organization Active NPI

Associated Ophthalmologist

  • Ophthalmology Physician
  • Goodyear, AZ
National Provider Identifier
1780915538
Registry record updated Apr 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
ASSOCIATED OPHTHALMOLOGIST
Practice address
13555 W McDowell Rd
#102
Goodyear, AZ 85395
Phone
(623) 209-0020
Fax
(480) 990-7364
NPI assigned
Jan 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2023

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

Authorized official

Name
Brandi Reshetar
Title
Cfo
Phone
(480) 990-7271

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

13555 W McDowell Rd
#102
Goodyear, AZ 85395

Mailing address

7245 E Osborn Rd
#4
Scottsdale, AZ 85251
Phone (480) 990-7361

Other names 1

  • Arizona Eye Specialist Doing business as

National Provider Directory

National Provider Directory
Tax ID family
John S Aiello MD4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7245 E Osborn Rd
Ste 4
Scottsdale, AZ 85251
Phone (480) 994-5012

NPI Registry JSON

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

{
    "created_epoch": "1263859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682553600000",
    "number": "1780915538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7245 E OSBORN RD",
            "address_2": "#4",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85251",
            "telephone_number": "480-990-7361",
            "fax_number": "480-990-7364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13555 W MCDOWELL RD",
            "address_2": "#102",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "85395",
            "telephone_number": "623-209-0020",
            "fax_number": "480-990-7364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED OPHTHALMOLOGIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-19",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A",
        "authorized_official_last_name": "RESHETAR",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "480-990-7271"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arizona Eye Specialist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Goodyear, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; 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.