NPIMap

Organization Active NPI

Desert Eye, PC

  • Optometrist
  • Tempe, AZ
National Provider Identifier
1922314905
Registry record updated Mar 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1026 Issued in AZ
Legal business name
DESERT EYE, PC
Practice address
3200 S Rural Rd
Ste 1
Tempe, AZ 85282-3870
Phone
(480) 966-0522
Fax
(480) 966-0650
NPI assigned
Aug 27, 2010
Last updated
Mar 7, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2012

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

Authorized official

Name
John D Pearson, O.D.NPI 1992775712
Title
President
Phone
(480) 966-0522

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1026 AZ Primary

Addresses

Primary practice location

3200 S Rural Rd
Ste 1
Tempe, AZ 85282-3870

Mailing address

3200 S Rural Rd
Ste 1
Tempe, AZ 85282-3870
Phone (480) 966-0522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20101227000393 AZ Part B Supplier - Clinic/Group Practice 6800084419 Receives reassigned benefits from 7 practitioners
Practice locations: Tempe, AZ
O20161101001040 AZ DME Supplier - Physician - OptometristDME Supplier - Optician 6800084419 Practice locations: Tempe, AZ

National Provider Directory

National Provider Directory
Tax ID family
Desert Eye PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 7

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": "1282867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331078400000",
    "number": "1922314905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 S RURAL RD",
            "address_2": "STE 1",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852823870",
            "telephone_number": "480-966-0522",
            "fax_number": "480-966-0650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 S RURAL RD",
            "address_2": "STE 1",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852823870",
            "telephone_number": "480-966-0522",
            "fax_number": "480-966-0650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT EYE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-27",
        "last_updated": "2012-03-07",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-966-0522",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2012; 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.