NPIMap

Organization Active NPI

Agave Eye Care, PLLC

  • Optometrist
  • Chandler, AZ
National Provider Identifier
1972774172
Registry record updated Mar 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1010 Issued in AZ
Legal business name
AGAVE EYE CARE, PLLC
Practice address
1815 E Queen Creek Rd
Ste # 2
Chandler, AZ 85286-2017
Phone
(480) 895-2020
NPI assigned
Mar 14, 2008
Last updated
Mar 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2008

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

Authorized official

Name
Nancy Nan Yin LiawNPI 1043432776
Title
Owner
Phone
(480) 895-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1010 AZ Primary

Addresses

Primary practice location

1815 E Queen Creek Rd
Ste # 2
Chandler, AZ 85286-2017

Mailing address

1815 E Queen Creek Rd
Ste # 2
Chandler, AZ 85286-2017
Phone (480) 895-2020

National Provider Directory

National Provider Directory

Locations

1815 E Queen Creek Rd
Ste 2
Chandler, AZ 85286
Phone (480) 895-2020

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205452800000",
    "number": "1972774172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 E QUEEN CREEK RD",
            "address_2": "STE # 2",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852862017",
            "telephone_number": "480-895-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 E QUEEN CREEK RD",
            "address_2": "STE # 2",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852862017",
            "telephone_number": "480-895-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAVE EYE CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-14",
        "last_updated": "2008-03-14",
        "status": "A",
        "authorized_official_last_name": "LIAW",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "NAN YIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-895-2020"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; 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.