Individual provider Active NPI

Aimee Terauchi, O.D., PH.D.

  • Optometrist
  • Gilbert, AZ
National Provider Identifier
1851753149
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2103 Issued in AZ
Practice address
5290 S Power Rd
Gilbert, AZ 85295-8478
Phone
(480) 988-9287
NPI assigned
Mar 24, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2103 AZ Primary

Addresses

Primary practice location

5290 S Power Rd
Gilbert, AZ 85295-8478

Mailing address

3984 E Azalea Dr
Gilbert, AZ 85298-0604
Phone (510) 290-1583

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2103AZMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Aimee Terauchi OD PLLC Optometrist Current Accepting new patients

Locations

5290 S Power Rd
Gilbert, AZ 85295
Phone (480) 988-4071

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": "1458777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1851753149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3984 E AZALEA DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852980604",
            "telephone_number": "510-290-1583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5290 S POWER RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852958478",
            "telephone_number": "480-988-9287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERAUCHI",
        "first_name": "AIMEE",
        "name_prefix": "Dr.",
        "credential": "O.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-24",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "2103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; 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.