Phoenix Eye Group, LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

35603 Issued in AZ

Legal business name

PHOENIX EYE GROUP, LLC

Practice address

10250 N 92ND St Ste 105
Scottsdale, AZ 85258-4517

Phone

(480) 237-3799

Fax

(480) 436-6760

NPI assigned

Jul 1, 2014

Organization subpart

No

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

Authorized official

Name

Eva-Marie Chong, MDNPI 1700867009

Title

Owner

Phone

(480) 237-3799

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 3

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

• Eva-Marie Bee Chun Chong, MD

  • Ophthalmology Physician
  • Scottsdale, AZ
  • NPI 1700867009
  Medicare reassignment NPD Authorized official
• Mark A Yates, OD

  • Optometrist
  • Sun City, AZ
  • NPI 1992724256
  Medicare reassignment NPD
• Charles Brady Wilson, PD.D.

  • Clinical Psychologist
  • Scottsdale, AZ
  • NPI 1003938176
  NPD (past)

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

{
    "created_epoch": "1404172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415577600000",
    "number": "1982010773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21001 N TATUM BLVD STE 1630-609",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850504242",
            "telephone_number": "480-237-3799",
            "fax_number": "480-436-6760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10250 N 92ND ST STE 105",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584517",
            "telephone_number": "480-237-3799",
            "fax_number": "480-436-6760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX EYE GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-01",
        "last_updated": "2014-11-10",
        "status": "A",
        "authorized_official_last_name": "CHONG",
        "authorized_official_first_name": "EVA-MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-237-3799",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "35603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phoenix Anesthesiology Consultants, LLC
• Phoenix Children'S Hospital, Inc.
• Phoenix Children'S Hospital, Inc.
• Phoenix Children'S Medical Group
• Phoenix Diagnostic Imaging Inc
• Phoenix Geriatrics & Internal Medicine P L L C
• Phoenix Hospitalists PLC
• Phoenix Institute of Microvascular & Plastic Surgery PLLC
• Phoenix International Resources, LLC
• Phoenix Joint Center LLC

• Ophthalmology Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Ophthalmology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2014; 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.