Expert Az Eyecare LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

1936 Issued in AZ

Legal business name

EXPERT AZ EYECARE LLC

Doing business as

Golden Hills Optical

Practice address

1423 S Higley Rd
Suite 104
Mesa, AZ 85206-3429

Phone

(480) 985-0086

NPI assigned

May 3, 2017

Organization subpart

No

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

Authorized official

Name

Elena Filatova, ODNPI 1649553355

Title

OD/Owner

Phone

(480) 985-0086

Specialties & licenses 1

Addresses

Other names 1

• Golden Hills Optical Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elena Filatova, O.D

  • Optometrist
  • Mesa, AZ
  • NPI 1649553355
  Medicare reassignment NPD Authorized official
• Jeffrey Alan Jackson, O.D.

  • Optometrist
  • Casa Grande, AZ
  • NPI 1003014051
  NPD (past)

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

{
    "created_epoch": "1493769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499385600000",
    "number": "1962938498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1423 S HIGLEY RD",
            "address_2": "SUITE 104",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852063429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 S HIGLEY RD",
            "address_2": "SUITE 104",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852063429",
            "telephone_number": "480-985-0086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPERT AZ EYECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-03",
        "last_updated": "2017-07-07",
        "status": "A",
        "authorized_official_last_name": "FILATOVA",
        "authorized_official_first_name": "ELENA",
        "authorized_official_title_or_position": "OD/OWNER",
        "authorized_official_telephone_number": "480-985-0086",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "AZ",
            "license": "1936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Hills Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Becki Ewy, CPNP-PC
• Excel Behavioral Health Services LLC
• Excel Surgical Center LLC
• Excentra Consulting LLC
• Executive Voice Enterprises, LLC
• Experts on Sight - Mesa LLC (Abbott Eye Care A Division of Experts On Sight)
• Thaliabel Exposito
• Express Care
• Express Care Clinic
• Eye Magination

• Health Service Clinic/Center in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Health Service Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.