NPIMap

Organization Active NPI

Associated Ophthalmologist, LTD

Doing business as Arizona Eye Specialist

  • Ophthalmology Physician
  • Mesa, AZ
National Provider Identifier
1841521697
Registry record updated Apr 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
ASSOCIATED OPHTHALMOLOGIST, LTD
Doing business as
Arizona Eye Specialist
Practice address
2855 E Brown Rd Ste 10
Mesa, AZ 85213-4215
Phone
(480) 994-5012
Fax
(480) 994-9479
NPI assigned
Jan 19, 2010
Last updated
Apr 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2023

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

Authorized official

Name
David Soto
Title
Credentialing Manager
Phone
(480) 994-5012

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

2855 E Brown Rd Ste 10
Mesa, AZ 85213-4215

Mailing address

7245 E Osborn Rd
#4
Scottsdale, AZ 85251
Phone (480) 990-7361

Other practice location 1

4915 E Baseline Rd.
#114
Gubert, AZ 85234
Phone (480) 830-0012

Other names 2

  • Arizona Eye Specialist Doing business as
  • Associated Ophthalmologist, LTD Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
J Peter Aiello4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1263859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682553600000",
    "number": "1841521697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7245 E OSBORN RD",
            "address_2": "#4",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85251",
            "telephone_number": "480-990-7361",
            "fax_number": "480-990-7364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 E BROWN RD STE 10",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852134215",
            "telephone_number": "480-994-5012",
            "fax_number": "480-994-9479"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4915 E Baseline Rd.",
            "address_2": "#114",
            "address_purpose": "LOCATION",
            "city": "Gubert",
            "state": "AZ",
            "postal_code": "85234",
            "country_code": "US",
            "telephone_number": "480-830-0012",
            "fax_number": "480-990-7364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ASSOCIATED OPHTHALMOLOGIST, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-19",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A",
        "authorized_official_last_name": "SOTO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "480-994-5012"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arizona Eye Specialist",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Associated Ophthalmologist, LTD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.