Organization Active NPI

Gateway Optometry PLC

  • Optometrist
  • Anthem, AZ
National Provider Identifier
1902051253
Registry record updated Nov 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
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

Updated by the provider on Nov 28, 2008

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.