Estrella Mountain Eye Care PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

873 Issued in AZ

Legal business name

ESTRELLA MOUNTAIN EYE CARE PLLC

Practice address

13065 W McDowell Rd
Suite B105
Avondale, AZ 85392-6439

Phone

(623) 845-1400

Fax

(623) 845-1401

NPI assigned

Jan 16, 2017

Last updated

Feb 1, 2017By 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

Dr. Beth Ann Pyle-Smith, O.D.NPI 1194728485

Title

President Owner

Phone

(602) 790-5990

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

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.

• Beth Ann Pyle-Smith, O.D.

  • Optometrist
  • Avondale, AZ
  • NPI 1194728485
  Medicare reassignment Care Compare group Authorized official
• Steven Shing Yan Wan, OD

  • Optometrist
  • Avondale, AZ
  • NPI 1891136941
  Medicare reassignment Care Compare group NPD
• Kerry Karl Pearson, O.D.

  • Optometrist
  • Mesa, AZ
  • NPI 1265455034
  NPD (past)

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

{
    "created_epoch": "1484524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485907200000",
    "number": "1912443888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13065 W MCDOWELL RD",
            "address_2": "SUITE B105",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853926439",
            "telephone_number": "623-845-1400",
            "fax_number": "623-845-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13065 W MCDOWELL RD",
            "address_2": "SUITE B105",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853926439",
            "telephone_number": "623-845-1400",
            "fax_number": "623-845-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESTRELLA MOUNTAIN EYE CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-16",
        "last_updated": "2017-02-01",
        "status": "A",
        "authorized_official_last_name": "PYLE-SMITH",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "602-790-5990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Espinoza
• Abby Estrada
• Debani Estrada
• Estrella Eyecare
• Estrella Mental Health Services, PLLC
• Shanae Etheridge
• Mario Euceda-Cruz, BCBA, M.A.
• Erica Evans-Stathopoulos, LPC
• Evermore Healthcare Agency
• Excel Healthcare LLC

• Optometrist in Avondale, AZ
• Providers in Avondale, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2017; 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.