Individual provider Active NPI

Jeffrey Pyritz, OD

  • Optometrist
  • Phoenix, AZ
National Provider Identifier
1841260338
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
926 Issued in AZ
Practice address
3201 W Peoria Ave Ste D704
Phoenix, AZ 85029-4612
Phone
(602) 944-7642
Fax
(602) 944-8495
NPI assigned
Jan 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 926 AZ Primary

Addresses

Primary practice location

3201 W Peoria Ave Ste D704
Phoenix, AZ 85029-4612

Mailing address

3201 W Peoria Ave Ste D704
Phoenix, AZ 85029-4612
Phone (602) 944-7642

Other identifiers 1

IdentifierTypeStateIssuer
324335MedicaidAZ

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
I20040512000288 AZ Practitioner - Optometry 6709875826 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Millennium Vision IncGroup PAC ID 1658350236, 17 clinicians

Practice addresses (Care Compare)

18325 N Allied Way
Suite 100
Phoenix, AZ 85054-3106
Phone (602) 953-3339

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
926AZMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Millennium Vision Inc Optometrist CurrentSince Nov 11, 2024 Accepting new patients
Prime Eye Care PC Optometrist CurrentSince May 5, 2008 Accepting new patients
Gary L Morgan OD PC Optometrist Past Accepting new patients
Banner - University Medical Center Phoenix Campus Surgical Specialists Past Accepting new patients

Locations

6343 E Main St
Ste B7
Mesa, AZ 85205
Phone (480) 832-0030

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

20940 N Tatum Blvd
Ste 370
Phoenix, AZ 85050
Phone (480) 563-8787

2020 N Central Ave
Ste 1100
Phoenix, AZ 85004
Phone (623) 236-1999

18325 N Allied Way
Ste 100
Phoenix, AZ 85054
Phone (602) 467-4966

3201 W Peoria Ave
Ste D704
Phoenix, AZ 85029
Phone (602) 843-4844

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

18325 N Allied Way
Phoenix, AZ 85054
Phone (480) 419-5400

Organizations & group practices 4

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": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1841260338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 W PEORIA AVE STE D704",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294612",
            "telephone_number": "602-944-7642",
            "fax_number": "602-944-8495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 W PEORIA AVE STE D704",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294612",
            "telephone_number": "602-944-7642",
            "fax_number": "602-944-8495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PYRITZ",
        "first_name": "JEFFREY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "324335",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.