Individual provider Active NPI

Kelly Cross Pyritz, O.D.

  • Optometrist
  • Phoenix, AZ
National Provider Identifier
1851436661
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
910 Issued in AZ
Practice address
19001 N 27TH Ave
Phoenix, AZ 85027-5036
Phone
(623) 293-4412
NPI assigned
Feb 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 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 910 AZ Primary

Addresses

Primary practice location

19001 N 27TH Ave
Phoenix, AZ 85027-5036

Mailing address

19001 N 27TH Ave
Phoenix, AZ 85027-5036
Phone (602) 702-4394

Other names 1

  • Kelly Ann Cross Professional name

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
I20110117000252 AZ Practitioner - Optometry 1557268273 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1995
Medicare assignment
May accept Medicare assignment
Group practices
Dr Kelly a Cross and Associates P CGroup PAC ID 4587561295, 5 clinicians

Practice addresses (Care Compare)

19001 N 27TH Ave
Phoenix, AZ 85027-5036
Phone (623) 293-4412

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Kelly a. Cross & Associates, P.C. Optometrist CurrentSince Jun 11, 2001 Accepting new patients

Locations

19001 N 27th Ave
Phoenix, AZ 85027
Phone (623) 293-4402

Organizations & group practices 1

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": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1851436661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19001 N 27TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850275036",
            "telephone_number": "602-702-4394",
            "fax_number": "623-293-4436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19001 N 27TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850275036",
            "telephone_number": "623-293-4412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PYRITZ",
        "first_name": "KELLY",
        "middle_name": "CROSS",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "CROSS",
            "middle_name": "ANN",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.