NPIMap

Organization Active NPI

K Rhodes OD PLLC

  • Optometrist
  • Cave Creek, AZ
National Provider Identifier
1861118408
Registry record updated Oct 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
K RHODES OD PLLC
Doing business as
EyeCare North
Practice address
29605 N Cave Creek Rd Ste 102
Cave Creek, AZ 85331-2360
Phone
(541) 390-9667
NPI assigned
Oct 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2022

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

Authorized official

Name
Dr. Kristi Lyn Rhodes, ODNPI 1134120850
Title
Owner
Phone
(541) 390-9667

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

29605 N Cave Creek Rd Ste 102
Cave Creek, AZ 85331-2360

Mailing address

PO Box 72802
Phoenix, AZ 85050-1031
Phone (541) 390-9667

Other names 1

  • EyeCare North Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221110001772 AZ Part B Supplier - Clinic/Group Practice 8527435171 Receives reassigned benefits from 2 practitioners
Practice locations: Cave Creek, AZ

National Provider Directory

National Provider Directory

Locations

29605 N Cave Creek Rd
Ste 102
Cave Creek, AZ 85331
Phone (480) 361-7040

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1665705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665705600000",
    "number": "1861118408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 72802",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850501031",
            "telephone_number": "541-390-9667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29605 N CAVE CREEK RD STE 102",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853312360",
            "telephone_number": "541-390-9667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K RHODES OD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-14",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A",
        "authorized_official_last_name": "RHODES",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_middle_name": "LYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-390-9667",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EyeCare North",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cave Creek, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.