Individual provider Active NPI

J Kevin Quaranta, O.D.

  • Optometrist
  • Chandler, AZ
National Provider Identifier
1942273446
Registry record updated Mar 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
945 Issued in AZ
Practice address
2211 E Pecos Rd Ste 1
Chandler, AZ 85225-6142
Phone
(480) 812-2211
Fax
(480) 776-2738
NPI assigned
Feb 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 945 AZ Primary

Addresses

Primary practice location

2211 E Pecos Rd Ste 1
Chandler, AZ 85225-6142

Mailing address

2211 E Pecos Rd Ste 1
Chandler, AZ 85225-6142
Phone (480) 812-2211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031209000044 AZ Practitioner - Optometry 7012813389 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sonoran Desert Eye Center, LLCGroup PAC ID 4789757972, 2 clinicians

Practice addresses (Care Compare)

2211 E Pecos Rd
Suite 1
Chandler, AZ 85225-6142
Phone (480) 812-2211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
945AZMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sonoran Desert Eye Center, LLC Optometrist CurrentSince Jul 14, 2008 Accepting new patients
My Eye Consultants PLLC Optometrist Past Accepting new patients
Chandler Eye Center Past Accepting new patients

Locations

2211 E Pecos Rd
Ste 1
Chandler, AZ 85225
Phone (480) 812-2211

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426636800000",
    "number": "1942273446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 E PECOS RD STE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852256142",
            "telephone_number": "480-812-2211",
            "fax_number": "480-776-2738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 E PECOS RD STE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852256142",
            "telephone_number": "480-812-2211",
            "fax_number": "480-776-2738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUARANTA",
        "first_name": "J",
        "middle_name": "KEVIN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2015-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.