NPIMap

Organization Active NPI

Samuel Soesbe, O.D., P.C.

  • Optometrist
  • Mesa, AZ
National Provider Identifier
1861520017
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
804 Issued in AZ
Legal business name
SAMUEL SOESBE, O.D., P.C.
Doing business as
DBA Golden Hills Optical
Practice address
1423 S Higley Rd
104
Mesa, AZ 85206-3429
Phone
(480) 985-0086
NPI assigned
Mar 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Samuel Soesbe, O.D.
Title
Owner
Phone
(480) 985-0086

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 804 AZ Primary

Addresses

Primary practice location

1423 S Higley Rd
104
Mesa, AZ 85206-3429

Mailing address

1423 S Higley Rd
104
Mesa, AZ 85206-3429

Other names 1

  • DBA Golden Hills Optical Doing business as

National Provider Directory

National Provider Directory

Locations

1423 S Higley Rd
Ste 104
Mesa, AZ 85206
Phone (480) 985-0086

Practitioners & affiliated clinicians

Practitioners 2

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": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861520017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1423 S HIGLEY RD",
            "address_2": "104",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852063429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 S HIGLEY RD",
            "address_2": "104",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852063429",
            "telephone_number": "480-985-0086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL SOESBE, O.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SOESBE",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-985-0086",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA Golden Hills Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.