Organization Active NPI

Eye Doctors of Arizona PLLC

  • Ophthalmology Physician
  • Phoenix, AZ
National Provider Identifier
1982268298
Registry record updated Apr 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
EYE DOCTORS OF ARIZONA PLLC
Practice address
515 W Buckeye Rd Ste 104
Phoenix, AZ 85003-3699
Phone
(602) 257-8280
Fax
(602) 257-7007
NPI assigned
Apr 23, 2019
Last updated
Apr 23, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
EYE DOCTORS OF ARIZONA PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 23, 2019

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

Authorized official

Name
Mr. Benjamin L Heller, D.O.NPI 1346655099
Title
Member
Phone
(602) 257-8280

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

515 W Buckeye Rd Ste 104
Phoenix, AZ 85003-3699

Mailing address

515 W Buckeye Rd Ste 104
Phoenix, AZ 85003-3699
Phone (602) 257-8280

Other identifiers 1

IdentifierTypeStateIssuer
422367MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190508003366 AZ Part B Supplier - Clinic/Group Practice 3870835044 Receives reassigned benefits from 11 practitioners
Practice locations: Phoenix, AZ; Chandler, AZ

National Provider Directory

National Provider Directory
Part of
Eye Doctors of Arizona PLLC

Locations

2979 W Elliot Rd
Ste 1
Chandler, AZ 85224
Phone (480) 898-3937

3125 N 32nd St
Ste 100
Phoenix, AZ 85018
Phone (602) 257-8280

3321 E Bell Rd
#B12
Phoenix, AZ 85032
Phone 6022578280 ext. 2

3321 E Bell Rd
Ste B12
Phoenix, AZ 85032
Phone (602) 257-8280

Practitioners & affiliated clinicians

Practitioners 12

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": "1555977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555977600000",
    "number": "1982268298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 W BUCKEYE RD STE 104",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850033699",
            "telephone_number": "602-257-8280",
            "fax_number": "602-257-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 W BUCKEYE RD STE 104",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850033699",
            "telephone_number": "602-257-8280",
            "fax_number": "602-257-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE DOCTORS OF ARIZONA PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EYE DOCTORS OF ARIZONA PLLC",
        "enumeration_date": "2019-04-23",
        "last_updated": "2019-04-23",
        "status": "A",
        "authorized_official_last_name": "HELLER",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "602-257-8280",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "422367",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Apr 23, 2019; 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.