Active NPI
Gateway Optometry PLC
- Optometrist
- Anthem, AZ
National Provider Identifier
1902051253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- GATEWAY OPTOMETRY PLC
- Practice address
- 4435 W Anthem Way
Wal Mart Vision Center
Anthem, AZ 85086-0467 - Phone
- (617) 875-7074
- NPI assigned
- Nov 28, 2008
- 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
- Svetlana Aleshina, OD
- Title
- Sole Member
- Phone
- (617) 875-7074
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
4435 W Anthem Way
Wal Mart Vision Center
Anthem, AZ 85086-0467
Mailing address
1002 E Osborn Rd Unit a
Phoenix, AZ 85014-5222
Phone (617) 875-7074
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227830400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1227830400000",
"number": "1902051253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1002 E OSBORN RD UNIT A",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850145222",
"telephone_number": "617-875-7074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4435 W ANTHEM WAY",
"address_2": "WAL MART VISION CENTER",
"city": "ANTHEM",
"state": "AZ",
"postal_code": "850860467",
"telephone_number": "617-875-7074"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GATEWAY OPTOMETRY PLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-28",
"last_updated": "2008-11-28",
"status": "A",
"authorized_official_last_name": "ALESHINA",
"authorized_official_first_name": "SVETLANA",
"authorized_official_title_or_position": "SOLE MEMBER",
"authorized_official_telephone_number": "617-875-7074",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anthem, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.