Ophthalmic Consultants of Arizona, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

OPHTHALMIC CONSULTANTS OF ARIZONA, LLC

Doing business as

Yavapai Eye Care Surgery Center B

Practice address

7840 E State Route 69 Ste A5A
Prescott Valley, AZ 86314-2280

Phone

(928) 775-9393

Fax

(928) 772-1279

NPI assigned

Mar 4, 2020

Last updated

Feb 19, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jared G Smedley, MD

Title

Authorized Official

Phone

(928) 775-9393

Specialties & licenses 1

Addresses

Other names 1

• Yavapai Eye Care Surgery Center B Doing business as

Tax ID family

Ophthalmic Consultants of Arizona LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Ophthalmic Consultants of Arizona, LLC

  dba Yavapai Eye Care Surgery Center

  • Clinic/Center
  • Prescott Valley, AZ
  • NPI 1366077927
  NPD tax ID

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

{
    "created_epoch": "1583280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613692800000",
    "number": "1891320453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5374 N HONDO DR",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863149343",
            "telephone_number": "928-775-9393",
            "fax_number": "928-772-1279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7840 E STATE ROUTE 69 STE A5A",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863142280",
            "telephone_number": "928-775-9393",
            "fax_number": "928-772-1279"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "412 Whipple St",
            "address_purpose": "LOCATION",
            "city": "Prescott",
            "state": "AZ",
            "postal_code": "863011712",
            "country_code": "US",
            "telephone_number": "928-771-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OPHTHALMIC CONSULTANTS OF ARIZONA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-04",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A",
        "authorized_official_last_name": "SMEDLEY",
        "authorized_official_first_name": "JARED",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "928-775-9393",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yavapai Eye Care Surgery Center B",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maren Michele Olsen, PHARMD
• Kizmi Levens Olson, P.T.
• Stacy Olson
• One Psychological Services
• Ophthalmic Consultants of Arizona, LLC (Yavapai Eye Care Surgery Center)
• Janice Ormsby, DC
• Kenneth Ortega
• Henry Kwabena Osei, MD
• Kristin Lara Ott, PT, MPT
• Bradley D Packer, O.D.

• Clinic/Center in Prescott Valley, AZ
• Providers in Prescott Valley, AZ by specialty
• Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; 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.