Organization Active NPI

Risser Thomas Eye Clinic LTD

  • Ophthalmology Physician
  • Phoenix, AZ
National Provider Identifier
1851422075
Registry record updated Dec 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
RISSER THOMAS EYE CLINIC LTD
Practice address
9250 N 3Rd St
Ste. 3030
Phoenix, AZ 85020-2412
Phone
(602) 944-3347
Fax
(602) 944-3448
NPI assigned
Mar 8, 2007
Last updated
Dec 31, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2014

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

Authorized official

Name
Mrs. Dolores M. Burns
Title
Practice Manager
Phone
(602) 944-3347

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

9250 N 3Rd St
Ste. 3030
Phoenix, AZ 85020-2412

Mailing address

9250 N 3Rd St
Ste. 3030
Phoenix, AZ 85020-2412
Phone (602) 944-3347

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040623001501 AZ Part B Supplier - Clinic/Group Practice 0749265544 Receives reassigned benefits from 3 practitioners
Practice locations: Payson, AZ; Phoenix, AZ; Glendale, AZ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D1031902Risser Thomas Eye Clinic9250 North 3Rd St, Ste 3030, Phoenix, AZ 85020Certificate of waiverOct 11, 2026

National Provider Directory

National Provider Directory

Locations

6005 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 274-1703

9225 N 3rd St
Ste 104
Phoenix, AZ 85020
Phone (602) 943-1663

9250 N 3rd St
Ste 206
Phoenix, AZ 85020

9250 N 3rd St
Ste 3030
Phoenix, AZ 85020
Phone (602) 944-3347

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419984000000",
    "number": "1851422075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9250 N 3RD ST",
            "address_2": "STE. 3030",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850202412",
            "telephone_number": "602-944-3347",
            "fax_number": "602-944-3448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9250 N 3RD ST",
            "address_2": "STE. 3030",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850202412",
            "telephone_number": "602-944-3347",
            "fax_number": "602-944-3448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISSER THOMAS EYE CLINIC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2014-12-31",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "DOLORES",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "602-944-3347",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "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 Dec 31, 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.

Verify at the official NPI Registry.