Active NPI
Amy Michelle Czyz, O.D.
- Optometrist
- Phoenix, AZ
National Provider Identifier
1962464321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1118
- Practice address
- 4901 N 44TH St
Suite 102
Phoenix, AZ 85018-2782 - Phone
- (602) 955-2700
- NPI assigned
- Apr 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1118 | AZ | Primary |
Addresses
Primary practice location
4901 N 44TH St
Suite 102
Phoenix, AZ 85018-2782
Mailing address
4901 N 44TH St
Suite 102
Phoenix, AZ 85018-2782
Phone (602) 955-2700
Other names 1
- Dr. Amy Michelle Yavelak
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1118 | AZ | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1962464321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4901 N 44TH ST",
"address_2": "SUITE 102",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850182782",
"telephone_number": "602-955-2700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4901 N 44TH ST",
"address_2": "SUITE 102",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850182782",
"telephone_number": "602-955-2700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CZYZ",
"first_name": "AMY",
"middle_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-03",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AZ",
"license": "1118",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMY",
"last_name": "YAVELAK",
"middle_name": "MICHELLE",
"prefix": "DR.",
"credential": "O.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.