Organization Active NPI

Valleywide Physician Eyecare PLC

  • Ophthalmology Physician
  • Scottsdale, AZ
National Provider Identifier
1861559668
Registry record updated Oct 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25484 Issued in AZ
Legal business name
VALLEYWIDE PHYSICIAN EYECARE PLC
Practice address
9920 N 117TH PL
Scottsdale, AZ 85259-5080
Phone
(602) 370-7105
Fax
(480) 551-0655
NPI assigned
Jan 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2012

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

Authorized official

Name
Dr. Neal Nirenberg, MDNPI 1053482554
Title
Owner
Phone
(602) 370-7105

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
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 25484 AZ Primary

Addresses

Primary practice location

9920 N 117TH PL
Scottsdale, AZ 85259-5080

Mailing address

9920 N 117TH PL
Scottsdale, AZ 85259-5080
Phone (602) 370-7105

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080124000457 AZ Part B Supplier - Clinic/Group Practice 7416039854 Receives reassigned benefits from 1 practitioner
Practice locations: Scottsdale, AZ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350259200000",
    "number": "1861559668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9920 N 117TH PL",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852595080",
            "telephone_number": "602-370-7105",
            "fax_number": "480-551-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9920 N 117TH PL",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852595080",
            "telephone_number": "602-370-7105",
            "fax_number": "480-551-0655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEYWIDE PHYSICIAN EYECARE PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2012-10-15",
        "status": "A",
        "authorized_official_last_name": "NIRENBERG",
        "authorized_official_first_name": "NEAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-370-7105",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "25484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; 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.