Active NPI
The Vision Center of West Phoenix
- Optometrist
- Phoenix, AZ
National Provider Identifier
1831401934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1734
- Legal business name
- THE VISION CENTER OF WEST PHOENIX
- Practice address
- 9515 W Camelback Rd
Suite 110
Phoenix, AZ 85037-1355 - Phone
- (623) 937-1655
- Fax
- (623) 930-1396
- NPI assigned
- Jul 6, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Roger A Juarez, O.D.
- Title
- President
- Phone
- (623) 937-1655
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1734 | AZ | Primary |
Addresses
Primary practice location
9515 W Camelback Rd
Suite 110
Phoenix, AZ 85037-1355
Mailing address
9515 W Camelback Rd
Suite 110
Phoenix, AZ 85037-1355
Phone (623) 937-1655
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D2116294 | Vision Center of West Phoenix, the | Certificate of waiver | Jul 21, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 11
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Phoenix, AZ
- NPI 1154587939
-
- Optometrist
- Phoenix, AZ
- NPI 1629891734
-
- Optometrist
- Glendale, AZ
- NPI 1407814544
-
- Optometrist
- Tucson, AZ
- NPI 1174908149
-
- Optometrist
- Cave Creek, AZ
- NPI 1972731701
-
- Optometrist
- Phoenix, AZ
- NPI 1043964232
-
- Optometrist
- Phoenix, AZ
- NPI 1588148993
-
- Optometrist
- Surprise, AZ
- NPI 1265201925
-
- Optometrist
- Palm Desert, CA
- NPI 1225527153
-
- Optometrist
- Baltimore, MD
- NPI 1528673027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278374400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1400112000000",
"number": "1831401934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9515 W CAMELBACK RD",
"address_2": "SUITE 110",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850371355",
"telephone_number": "623-937-1655",
"fax_number": "623-930-1396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9515 W CAMELBACK RD",
"address_2": "SUITE 110",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850371355",
"telephone_number": "623-937-1655",
"fax_number": "623-930-1396"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE VISION CENTER OF WEST PHOENIX",
"organizational_subpart": "NO",
"enumeration_date": "2010-07-06",
"last_updated": "2014-05-15",
"status": "A",
"authorized_official_last_name": "JUAREZ",
"authorized_official_first_name": "ROGER",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "623-937-1655",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": "AZ",
"license": "1734",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.