Individual provider Active NPI

Sophie Robinson Ambrose, O.D.

  • Optometrist
  • Scottsdale, AZ
National Provider Identifier
1790136760
Registry record updated Oct 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2111 Issued in AZ
Practice address
20301 N Hayden Rd
Scottsdale, AZ 85255-3865
Phone
(480) 991-0509
NPI assigned
Jun 30, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2111 AZ Primary

Addresses

Primary practice location

20301 N Hayden Rd
Scottsdale, AZ 85255-3865

Mailing address

20301 N Hayden Rd
Scottsdale, AZ 85255-3865
Phone (480) 991-0509

Other names 1

  • Dr. Sophie Robinson Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160720000539 AZ Practitioner - Optometry 6305139932 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of North Carolina at Chapel Hill School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optics of Scottsdale LLCGroup PAC ID 2961582408, 2 clinicians

Practice addresses (Care Compare)

20301 N Hayden Rd
Suite 100
Scottsdale, AZ 85255-3881
Phone (480) 991-0509

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Optics of Scottsdale LLC Optometrist CurrentSince Jul 5, 2016 Accepting new patients
Optical Expressions PLLC Optometrist CurrentSince Jun 22, 2016 Accepting new patients

Locations

112 W McDowell Rd
Phoenix, AZ 85003
Phone (602) 254-3169

4425 N 24th St
Ste 250
Phoenix, AZ 85016
Phone (602) 224-5772

6137 N Scottsdale Rd
Ste 113
Scottsdale, AZ 85250
Phone (480) 998-1606

20301 N Hayden Rd
Ste 100
Scottsdale, AZ 85255
Phone (480) 991-0509

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1467244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1790136760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20301 N HAYDEN RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852553865",
            "telephone_number": "480-991-0509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20301 N HAYDEN RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852553865",
            "telephone_number": "480-991-0509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMBROSE",
        "first_name": "SOPHIE",
        "middle_name": "ROBINSON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-30",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "2111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SOPHIE",
            "last_name": "ROBINSON",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.