Dean Lawrence Mallory

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT-002649 Issued in AZ

Practice address

2580 N Litchfield Rd
Goodyear, AZ 85395-2049

Phone

(623) 932-2020

Fax

(623) 932-2668

NPI assigned

Sep 6, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Christopher T Furey OD PLCGroup PAC ID 6608773809, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Christopher T Furey OD PLC

  • Optometrist
  • Goodyear, AZ
  • NPI 1467658724
  Medicare reassignment Care Compare group NPD
• Emergency Medical & Surgical Specialists of Colorado LLC

  • Critical Access Hospital
  • Denver, CO
  • NPI 1144669102
  NPD (past)
• West Valley Vision Center, Inc

  • Optometrist
  • Fairbanks, AK
  • NPI 1235354515
  NPD (past)

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

{
    "created_epoch": "1662422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1801517206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2580 N LITCHFIELD RD",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952049",
            "telephone_number": "623-932-2020",
            "fax_number": "623-932-2668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2580 N LITCHFIELD RD",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952049",
            "telephone_number": "623-932-2020",
            "fax_number": "623-932-2668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLORY",
        "first_name": "DEAN",
        "middle_name": "LAWRENCE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-06",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-002649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Maina, RN
• Ida Majidi
• Fadi Makdesi, M.D
• Kristen Maleski, DPT
• Melissa Mallary, DO
• Emily Malone, PT, DPT
• Malvinderjit Singh MD PLLC
• Christine Marie Maneval, LPC
• Dominique Michelle Mangano Mack, LAC
• Tanesha Lynn Manigo-Brown

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.

Verify at the official NPI Registry.