Phoenix Retina Centers, LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

37088 Issued in AZ

Legal business name

PHOENIX RETINA CENTERS, LLC

Practice address

5410 N Scottsdale Rd
Suite A400
Paradise Valley, AZ 85253-5927

Phone

(480) 278-8980

Fax

(480) 990-1147

NPI assigned

Jun 17, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Ingeborg Kirch, MD

Title

Manager

Phone

(480) 278-8980

Specialties & licenses 1

Addresses

Other names 1

• Phoenix Retina Center Doing business as

Locations

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

{
    "created_epoch": "1371427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371427200000",
    "number": "1851730535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5410 N SCOTTSDALE RD",
            "address_2": "SUITE A400",
            "city": "PARADISE VALLEY",
            "state": "AZ",
            "postal_code": "852535927",
            "telephone_number": "480-278-8980",
            "fax_number": "480-990-1147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5410 N SCOTTSDALE RD",
            "address_2": "SUITE A400",
            "city": "PARADISE VALLEY",
            "state": "AZ",
            "postal_code": "852535927",
            "telephone_number": "480-278-8980",
            "fax_number": "480-990-1147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX RETINA CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-17",
        "last_updated": "2013-06-17",
        "status": "A",
        "authorized_official_last_name": "KIRCH",
        "authorized_official_first_name": "INGEBORG",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "480-278-8980",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "37088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phoenix Retina Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paradise Valley Endodontic Group, PLLC
• Trupti K Patel, M.D.
• Peace of Mind Phca LLC
• Phoenix Maxillofacial Trauma Associates, LLC
• Phoenix Retina Center, LLC
• Kathern Lee Plenge, M.D.
• William Brian Powley, DDS
• Rosemary Prasad, RN
• Lauren Preble, RN
• Prosperity Consulting

• Ophthalmology Physician in Paradise Valley, AZ
• Providers in Paradise Valley, AZ by specialty
• Ophthalmology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; 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.