Individual provider Active NPI

Julie McCutcheon, O.D.

  • Optometrist
  • Scottsdale, AZ
National Provider Identifier
1821544495
Registry record updated May 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2152 Issued in AZ
Practice address
8752 E Shea Blvd Ste 125
Scottsdale, AZ 85260-6616
Phone
(480) 991-6432
NPI assigned
Sep 1, 2016
Last updated
May 9, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 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 2152 AZ Primary

Addresses

Primary practice location

8752 E Shea Blvd Ste 125
Scottsdale, AZ 85260-6616

Mailing address

555 N Gilbert Rd Ste 101
Mesa, AZ 85203-7551
Phone (480) 827-9184

Other practice location 1

167 N Main Street
Tuba City, AZ 86045
Phone (928) 283-2748

Other practice location 2

21227 S Ellsworth Loop Rd Ste 102
Queen Creek, AZ 85142-9869
Phone (480) 987-3097

Other practice location 3

555 N Gilbert Rd Ste 101
Mesa, AZ 85203-7551
Phone (480) 827-9184

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170103000992 TX Practitioner - Optometry 5890076947 Reassigns benefits to 1 organization
I20170913000955 AZ Practitioner - Optometry 5890076947 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Riviera Opticare Inc. Optometrist CurrentSince Jan 9, 2019 Accepting new patients
Tuba City Regional Health Care Corporation Ophthalmology Current Accepting new patients
Tuba City Regional Health Care Corporation CurrentSince Nov 8, 2016 Accepting new patients
Tuba City Regional Health Care Corporation CurrentSince Nov 8, 2016 Accepting new patients
Riviera Opticare Inc. Optometrist CurrentSince Jan 9, 2019 Accepting new patients
Emergency Medical & Surgical Specialists of Colorado LLC PastSince Jul 19, 2017 Accepting new patients

Locations

555 N Gilbert Rd
Ste 101
Mesa, AZ 85203
Phone (480) 827-9184

8752 E Shea Blvd
Ste 125
Scottsdale, AZ 85260
Phone (480) 991-6432

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557360000000",
    "number": "1821544495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 N GILBERT RD STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852037551",
            "telephone_number": "480-827-9184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8752 E SHEA BLVD STE 125",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606616",
            "telephone_number": "480-991-6432"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "167 N Main Street",
            "address_purpose": "LOCATION",
            "city": "Tuba City",
            "state": "AZ",
            "postal_code": "86045",
            "country_code": "US",
            "telephone_number": "928-283-2748",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21227 S Ellsworth Loop Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Queen Creek",
            "state": "AZ",
            "postal_code": "851429869",
            "country_code": "US",
            "telephone_number": "480-987-3097",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "555 N Gilbert Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852037551",
            "country_code": "US",
            "telephone_number": "480-827-9184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCUTCHEON",
        "first_name": "JULIE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2019-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "2152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.