Organization Active NPI

Southwestern Glaucoma Consultants

  • Ophthalmology Physician
  • Sun City, AZ
National Provider Identifier
1861676934
Registry record updated Dec 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
11931 Issued in AZ
Legal business name
SOUTHWESTERN GLAUCOMA CONSULTANTS
Practice address
10615 W Thunderbird Blvd
B300
Sun City, AZ 85351
Phone
(623) 933-0176
Fax
(623) 933-2808
NPI assigned
Dec 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2007

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

Authorized official

Name
Dr. Kenneth A Batko, MD
Title
Physician
Phone
(623) 933-0176

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 11931 AZ Primary

Addresses

Primary practice location

10615 W Thunderbird Blvd
B300
Sun City, AZ 85351

Mailing address

10615 W Thunderbird Blvd
B300 Southwestern Glaucoma Consultants LTD
Sun City, AZ 85351
Phone (623) 933-0176

Other identifiers 2

IdentifierTypeStateIssuer
CS5659OtherAZRAILROAD
234162MedicaidAZ

National Provider Directory

National Provider Directory

Locations

6550 E Broadway Rd
Ste 208
Mesa, AZ 85206
Phone (480) 981-3317

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": "1198454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198454400000",
    "number": "1861676934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10615 W THUNDERBIRD BLVD",
            "address_2": "B300 SOUTHWESTERN GLAUCOMA CONSULTANTS LTD",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "85351",
            "telephone_number": "623-933-0176",
            "fax_number": "623-933-2808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10615 W THUNDERBIRD BLVD",
            "address_2": "B300",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "85351",
            "telephone_number": "623-933-0176",
            "fax_number": "623-933-2808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWESTERN GLAUCOMA CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-24",
        "last_updated": "2007-12-24",
        "status": "A",
        "authorized_official_last_name": "BATKO",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "623-933-0176",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "11931",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "CS5659",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "234162",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2007; 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.