Active NPI
Ancala Eye Care P C
- Optometrist
- Scottsdale, AZ
National Provider Identifier
1871788133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OD890
- Legal business name
- ANCALA EYE CARE P C
- Practice address
- 11219 E Via Linda
Suite D3
Scottsdale, AZ 85259-4069 - Phone
- (480) 451-4519
- Fax
- (480) 451-4858
- NPI assigned
- Sep 10, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Stuart L Greenberg, O.D.
- Title
- President
- Phone
- (480) 451-4519
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OD890 | AZ | Primary |
Addresses
Primary practice location
11219 E Via Linda
Suite D3
Scottsdale, AZ 85259-4069
Mailing address
11219 E Via Linda
Suite D3
Scottsdale, AZ 85259-4069
Phone (480) 451-4519
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OD890 | Other | AZ | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
11219 E Via Linda
Ste D3
Scottsdale, AZ 85259
Phone (480) 451-4519
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Scottsdale, AZ
- NPI 1710022736
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189382400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715212800000",
"number": "1871788133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11219 E VIA LINDA",
"address_2": "SUITE D3",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852594069",
"telephone_number": "480-451-4519",
"fax_number": "480-451-4858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11219 E VIA LINDA",
"address_2": "SUITE D3",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852594069",
"telephone_number": "480-451-4519",
"fax_number": "480-451-4858"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANCALA EYE CARE P C",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-10",
"last_updated": "2024-05-09",
"certification_date": "2024-05-09",
"status": "A",
"authorized_official_last_name": "GREENBERG",
"authorized_official_first_name": "STUART",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "480-451-4519",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "AZ",
"license": "OD890",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "OD890",
"state": "AZ"
}
],
"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 May 9, 2024; 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.