Individual provider Active NPI

Alisha Rhea Fajardo-Diaz, O.D.

  • Optometrist
  • Chandler, AZ
National Provider Identifier
1831328764
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT-001692 Issued in AZ
Practice address
3940 S Alma School Rd Ste 5
Chandler, AZ 85248-4513
Phone
(480) 812-3937
Fax
(480) 812-2073
NPI assigned
Jul 13, 2009
Last updated
Jul 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT-001692 AZ Primary

Addresses

Primary practice location

3940 S Alma School Rd Ste 5
Chandler, AZ 85248-4513

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

Other practice location 1

1175 S Arizona Ave
Chandler, AZ 85286-6504
Phone (480) 726-0941

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
I20120210000739 AZ Practitioner - Optometry 4587821061 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ocotillo Eyecare PCGroup PAC ID 3072699982, 4 clinicians

Practice addresses (Care Compare)

3170 W Carefree Hwy
Suite 3
Phoenix, AZ 85086-3240
Phone (623) 444-2425

3940 S Alma School Rd
Suite 5
Chandler, AZ 85248-4513
Phone (480) 812-3937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1692AZMDOrthodontics and Dentofacial Orthopedic Dentist
OPT-001692AZMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Glaucoma Specialists - North Phoenix, LLC CurrentSince Aug 21, 2017 Accepting new patients
Ocotillo Eyecare P.C. Optometrist CurrentSince Dec 29, 2025 Accepting new patients
Prime Eye Care PC Optometrist CurrentSince Mar 15, 2018 Accepting new patients
Myeyedr Optometry of Washington, PLLC Optometrist PastSince Dec 29, 2025 Accepting new patients

Locations

3940 S Alma School Rd
Ste 5
Chandler, AZ 85248
Phone (480) 812-3937

1940 S Country Club Dr
Ste 102
Mesa, AZ 85210
Phone (480) 834-6367

20940 N Tatum Blvd
Ste 250
Phoenix, AZ 85050
Phone (480) 538-7075

300 W Clarendon Ave
Ste 150
Phoenix, AZ 85013
Phone (602) 265-0343

Organizations & group practices 5

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": "1247443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1831328764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3940 S ALMA SCHOOL RD STE 5",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852484513",
            "telephone_number": "480-812-3937",
            "fax_number": "480-812-2073"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1175 S Arizona Ave",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852866504",
            "country_code": "US",
            "telephone_number": "480-726-0941",
            "fax_number": "480-726-0943",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAJARDO-DIAZ",
        "first_name": "ALISHA",
        "middle_name": "RHEA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-13",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-001692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.