Individual provider Active NPI

Andrew Abela, OD

  • Optometrist
  • Tempe, AZ
National Provider Identifier
1942652672
Registry record updated Jul 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2136 Issued in AZ
Practice address
1825 E Guadalupe Rd
Suite F107
Tempe, AZ 85283-3274
Phone
(480) 730-1884
Fax
(480) 491-7951
NPI assigned
Jul 6, 2016
Last updated
Jul 6, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2136 AZ Primary

Addresses

Primary practice location

1825 E Guadalupe Rd
Suite F107
Tempe, AZ 85283-3274

Mailing address

220 N McKemy Ave
Chandler, AZ 85226-2654
Phone (480) 961-1865

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2136AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Vision Care LLC Optometrist CurrentSince Mar 14, 2023 Accepting new patients
Abc Children's Eye Specialists PC Past Accepting new patients
Children's Brain Academy PastSince May 7, 2023 Accepting new patients

Locations

13945 W Grand Ave
Ste A101
Surprise, AZ 85374
Phone (623) 931-2943

15003 W Bell Rd
Ste 100
Surprise, AZ 85374
Phone (623) 500-6855

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1467763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467763200000",
    "number": "1942652672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 N MCKEMY AVE",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852262654",
            "telephone_number": "480-961-1865",
            "fax_number": "480-893-8172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 E GUADALUPE RD",
            "address_2": "SUITE F107",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852833274",
            "telephone_number": "480-730-1884",
            "fax_number": "480-491-7951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABELA",
        "first_name": "ANDREW",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-06",
        "last_updated": "2016-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "2136",
            "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 Jul 6, 2016; 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.