Mohave Eye Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

3C0001082 Issued in AZ

Legal business name

MOHAVE EYE SURGERY CENTER

Practice address

1919 Florence Ave
Kingman, AZ 86401-4684

Phone

(928) 753-5454

Fax

(928) 753-4283

NPI assigned

Apr 24, 2007

Last updated

Aug 22, 2020By 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

Kenneth C Westfield, M.D.NPI 1891754180

Title

President

Phone

(928) 753-5454

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Kenneth Cecil Westfield, M.D.

  • Specialist
  • Las Vegas, NV
  • NPI 1891754180
  NPD (past) Authorized official

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942429477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2610 E UNIVERSITY DR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852138436",
            "telephone_number": "480-892-8400",
            "fax_number": "480-892-9533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 FLORENCE AVE",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864014684",
            "telephone_number": "928-753-5454",
            "fax_number": "928-753-4283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAVE EYE SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WESTFIELD",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-753-5454",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "AZ",
            "license": "3C0001082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mobility Prosthetic and Orthotic Services LLC
• Mohave Dental Associates PC
• Mohave Desert Orthopaedic Center LLC
• Mohave Eye Center, LTD
• Mohave Eye Centers LTD
• Mohave Family Chiropractic LLC
• Mohave Medical Oncology Center
• Mohave Mental Health Clinic Inc
• Mohave Mental Health Clinic Inc (Sycamore House)
• Mohave Mental Health Clinic Inc

• Ambulatory Surgical Clinic/Center in Kingman, AZ
• Providers in Kingman, AZ by specialty
• Ambulatory Surgical Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.