Organization Active NPI

I DRS, Inc.

Doing business as All About Eyes

  • Optometrist
  • Anthem, AZ
National Provider Identifier
1902133739
Registry record updated Nov 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1174 Issued in AZ
Legal business name
I DRS, INC.
Doing business as
All About Eyes
Practice address
42201 N 41St Dr
Suite 144
Anthem, AZ 85086-3800
Phone
(623) 551-9122
Fax
(623) 551-9120
NPI assigned
Nov 16, 2009
Last updated
Nov 16, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2009

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

Authorized official

Name
Dr. David Paul Shibata, O.D.NPI 1841397973
Title
President
Phone
(623) 551-9122

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)CodeLicenseStatePrimary
Optometrist 152W00000X 1174 AZ Primary

Addresses

Primary practice location

42201 N 41St Dr
Suite 144
Anthem, AZ 85086-3800

Mailing address

42201 N 41St Dr
Suite 144
Anthem, AZ 85086-3800
Phone (623) 551-9122

Other names 1

  • All About Eyes Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100205000203 AZ Part B Supplier - Clinic/Group Practice 2668515123 Receives reassigned benefits from 2 practitioners
Practice locations: Anthem, AZ

National Provider Directory

National Provider Directory
Tax ID family
All About Eyes2 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.

Locations

42201 N 41st Dr
Ste 124128
Anthem, AZ 85086
Phone (623) 551-9122

42201 N 41st Dr
Ste 128
Anthem, AZ 85086
Phone (623) 551-9122

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1258329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258329600000",
    "number": "1902133739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42201 N 41ST DR",
            "address_2": "SUITE 144",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850863800",
            "telephone_number": "623-551-9122",
            "fax_number": "623-551-9120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42201 N 41ST DR",
            "address_2": "SUITE 144",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850863800",
            "telephone_number": "623-551-9122",
            "fax_number": "623-551-9120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I DRS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-16",
        "last_updated": "2009-11-16",
        "status": "A",
        "authorized_official_last_name": "SHIBATA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-551-9122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "All About Eyes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 16, 2009; 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.

Verify at the official NPI Registry.