Individual provider Active NPI

Kathleen Vize, OD

  • Optometrist
  • Mesa, AZ
National Provider Identifier
1952406787
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
002480 Issued in AZ
Practice address
220 S 63Rd St
Mesa, AZ 85206-1619
Phone
(480) 641-3937
Fax
(480) 786-3956
NPI assigned
Sep 14, 2006
Last updated
Oct 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2426 CO
Optometrist 152W00000X 002480 AZ Primary

Addresses

Primary practice location

220 S 63Rd St
Mesa, AZ 85206-1619

Mailing address

PO Box 200414
Dallas, TX 75320-0414
Phone (309) 846-8955

Other practice location 1

3940 S Alma School Rd Ste 3
Chandler, AZ 85248-4513
Phone (480) 641-3937

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
I20211105000811 AZ Practitioner - Optometry 0042269037 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Swagel-Wootton Eye Center, IncGroup PAC ID 9335130046, 10 clinicians

Practice addresses (Care Compare)

3940 S Alma School Rd
Suite 3
Chandler, AZ 85248-4513
Phone (480) 786-3937

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002480AZMDOptometrist
2426COMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Swagel-Wootton Eye Center, Inc Optometrist CurrentSince Oct 1, 2022 Accepting new patients
Swagel-Wootton Eye Center, Inc CurrentSince Oct 1, 2022 Accepting new patients
Swagel-Wootton Eye Center, Inc Current Accepting new patients

Locations

3940 S Alma School Rd
Ste 3
Chandler, AZ 85248
Phone (480) 641-3937

220 S 63rd St
Mesa, AZ 85206
Phone (480) 641-3937

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: kathleen.vize.p3@direct.keec.nextgenshare.com

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": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1952406787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 200414",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753200414",
            "telephone_number": "309-846-8955",
            "fax_number": "480-924-5094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 S 63RD ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061619",
            "telephone_number": "480-641-3937",
            "fax_number": "480-786-3956"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3940 S Alma School Rd Ste 3",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852484513",
            "country_code": "US",
            "telephone_number": "480-641-3937",
            "fax_number": "480-786-3956",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIZE",
        "first_name": "KATHLEEN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2426",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "002480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.