Organization Active NPI

Laveen Lasik

  • Optometrist
  • Phoenix, AZ
National Provider Identifier
1861366072
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
LAVEEN LASIK
Practice address
2710 W Southern Ave Ste 109
Phoenix, AZ 85041-4501
Phone
(602) 237-4777
Fax
(602) 532-7461
NPI assigned
Oct 1, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Authorized official

Name
Dr. Jesus Pena, OD
Title
Owner
Phone
(480) 265-5611

Specialties & licenses 1

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

Addresses

Primary practice location

2710 W Southern Ave Ste 109
Phoenix, AZ 85041-4501

Mailing address

2710 W Southern Ave Ste 109
Phoenix, AZ 85041-4501
Phone (602) 237-4777

National Provider Directory

National Provider Directory

Locations

2710 W Southern Ave
Ste 109
Phoenix, AZ 85041
Phone (602) 237-4777

NPI Registry JSON

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

{
    "created_epoch": "1759276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759276800000",
    "number": "1861366072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 W SOUTHERN AVE STE 109",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850414501",
            "telephone_number": "602-237-4777",
            "fax_number": "602-532-7461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 W SOUTHERN AVE STE 109",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850414501",
            "telephone_number": "602-237-4777",
            "fax_number": "602-532-7461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAVEEN LASIK",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-01",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "JESUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-265-5611",
        "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": []
}

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 Oct 1, 2025; 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.