Spectra Eye Institute, LLC

Primary specialty

Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X

Legal business name

SPECTRA EYE INSTITUTE, LLC

Practice address

15401 N 29TH Ave
201
Phoenix, AZ 85053-4001

Phone

(623) 583-2020

Fax

(623) 583-2513

NPI assigned

Mar 20, 2017

Organization subpart

No

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

Authorized official

Name

Jan Amator

Title

Ceo

Phone

(623) 583-2020

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Listed as

Spectra Eye Institute LLCCCN 03C0001381

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• Mark Rami Barakat, M.D.

  • Ophthalmology Physician
  • Scottsdale, AZ
  • NPI 1225214646
  NPD
• Sujit Itty, MD

  • Ophthalmology Physician
  • Phoenix, AZ
  • NPI 1699902577
  NPD (past)

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

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636934400000",
    "number": "1962943118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15401 N 29TH AVE STE 201",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850534000",
            "telephone_number": "623-583-2020",
            "fax_number": "623-583-2075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15401 N 29TH AVE",
            "address_2": "201",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850534001",
            "telephone_number": "623-583-2020",
            "fax_number": "623-583-2513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRA EYE INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-20",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A",
        "authorized_official_last_name": "AMATOR",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "623-583-2020"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "544256",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Specialty Staffing Services, LLC
• Shelley Speck, PHARMD
• Spectickles Inc.
• Katherine Spector
• Sidney A Spector, MD
• Spectral Health, PLLC
• Spectrum Health Center, P.C.
• Spectrum Healthcare Group, Inc
• Spectrum Hemorrhoid Solutions LLC
• Spectrum Home Healthcare LLC

• Ophthalmologic Surgery Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Ophthalmologic Surgery Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.