Individual provider Active NPI

Allison Diane Wasz

  • Optometrist
  • Chandler, AZ
National Provider Identifier
1841034808
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT-002929 Issued in AZ
Practice address
2955 W Elliot Rd Ste 1
Chandler, AZ 85224-1620
Phone
(480) 838-4044
Fax
(480) 838-4072
NPI assigned
Jun 24, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT-002929 AZ Primary
Optometrist 152W00000X OPT5733 MA

Addresses

Primary practice location

2955 W Elliot Rd Ste 1
Chandler, AZ 85224-1620

Mailing address

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, 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
I20241010000236 MA Practitioner - Optometry 0446782858 Reassigns benefits to 1 organization
I20260529002434 AZ Practitioner - Optometry 0446782858 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2955 W Elliot Rd
Suite 1
Chandler, AZ 85224-1620
Phone (480) 838-4044

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT-002929AZMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Malcolm and Martin Greene OD Partners Optometrist CurrentSince Oct 3, 2024 Accepting new patients

Locations

31 Spring St
Ste 1
Watertown, MA 02472

31 Spring St
Ste 2
Watertown, MA 02472

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1841034808",
    "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": "2955 W ELLIOT RD STE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852241620",
            "telephone_number": "480-838-4044",
            "fax_number": "480-838-4072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASZ",
        "first_name": "ALLISON",
        "middle_name": "DIANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-24",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-002929",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "OPT5733",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.