Oculoplastic Eye Surgeons of Phoenix P.L.C.

Primary specialty

Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X

License

44635 Issued in AZ

Legal business name

OCULOPLASTIC EYE SURGEONS OF PHOENIX P.L.C.

Practice address

9151 W Thunderbird Rd # G104
Peoria, AZ 85381-4906

Phone

(623) 522-8687

Fax

(623) 522-8683

NPI assigned

Feb 23, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Lisa Dianne Mihora, M.D.NPI 1639168255

Title

Owner

Phone

(480) 788-1134

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: zsteinke@direct.practicefusion.com

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa Dianne Mihora, MD

  • Ophthalmology Physician
  • Peoria, AZ
  • NPI 1639168255

  Ophthalmic Plastic and Reconstructive Surgery

  Medicare reassignment NPD Authorized official
• Jane Yon Hee Cho, MD

  • Retina Specialist (Ophthalmology) Physician
  • Tucson, AZ
  • NPI 1710248190
  NPD
• Daniel Steven Churgin, M.D.

  • Ophthalmology Physician
  • Mesa, AZ
  • NPI 1558629550
  NPD
• Sharam Danesh, MD

  • Ophthalmology Physician
  • Phoenix, AZ
  • NPI 1003808809
  NPD
• Lars Freisberg, MD

  • Ophthalmology Physician
  • Phoenix, AZ
  • NPI 1659325454
  NPD
• Alex Song, MD

  • Ophthalmology Physician
  • Phoenix, AZ
  • NPI 1316492598
  NPD
• Sathy Visakan Bhavan, MD

  • Ophthalmology Physician
  • Pasadena, CA
  • NPI 1457321903
  NPD
• Denise Kayser, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Santa Rosa, CA
  • NPI 1134122633
  NPD
• Matthew Mortensen Goodman, M.D

  • Dermatology Physician
  • Sun City West, AZ
  • NPI 1679556633
  NPD (past)
• Seth M Goodman, DO

  • MOHS-Micrographic Surgery Physician
  • Sun City, AZ
  • NPI 1750726253
  NPD (past)

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

{
    "created_epoch": "1456185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661299200000",
    "number": "1821457532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9151 W THUNDERBIRD RD # G104",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814906",
            "telephone_number": "480-788-1134",
            "fax_number": "623-522-8683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9151 W THUNDERBIRD RD # G104",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814906",
            "telephone_number": "623-522-8687",
            "fax_number": "623-522-8683"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4045 E Union Hills Dr # C115",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850503386",
            "country_code": "US",
            "telephone_number": "623-522-8687",
            "fax_number": "623-522-8683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OCULOPLASTIC EYE SURGEONS OF PHOENIX P.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-23",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A",
        "authorized_official_last_name": "MIHORA",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "DIANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-788-1134",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207WX0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "AZ",
            "license": "44635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143418",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lmihora@direct.practicefusion.com",
            "affiliation": "N",
            "endpointDescription": "EMR Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9151 W Thunderbird Rd # G104",
            "city": "Peoria",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853814906",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "zsteinke@direct.practicefusion.com",
            "affiliation": "N",
            "endpointDescription": "EMR Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9151 W Thunderbird Rd # G104",
            "city": "Peoria",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853814906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Occupational Health Centers of the Southwest PA
• Occupational Health Centers of the Southwest PA
• Ashley Ochoa Villegas
• Kimberly A Ochoa, MS, OTR/L, BCBA
• Courtney Oconnor, LCSW
• Jackie Odishoo
• Romella M Ogbebor
• Diana Katherine Ogden, RDN
• Eve Ogilvie
• Lolade Ogunleye, NURSE PRACTITIONER

• Ophthalmic Plastic and Reconstructive Surgery Physician in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Ophthalmic Plastic and Reconstructive Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.