Active NPI
Chantelle Marie Clarizio, OD
- Optometrist
- Chandler, AZ
National Provider Identifier
1982733101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- AZ0997
- Practice address
- 1901 W Warner Rd Ste 1
Chandler, AZ 85224-2634 - Phone
- (480) 812-2010
- Fax
- (480) 812-1884
- NPI assigned
- Mar 5, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | AZ0997 | AZ | Primary |
Addresses
Primary practice location
1901 W Warner Rd Ste 1
Chandler, AZ 85224-2634
Mailing address
1901 W Warner Rd Ste 1
Chandler, AZ 85224-2634
Phone (480) 812-2010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 501826 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern California College of Optometry, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1901 W Warner Rd
Chandler, AZ 85224-2634
Phone (480) 812-2010
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AZ0997 | AZ | MD | Optometrist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Chandler, AZ
- NPI 1831178144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291248000000",
"number": "1982733101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 W WARNER RD STE 1",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852242634",
"telephone_number": "480-812-2010",
"fax_number": "480-812-1884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 W WARNER RD STE 1",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852242634",
"telephone_number": "480-812-2010",
"fax_number": "480-812-1884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARIZIO",
"first_name": "CHANTELLE",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-05",
"last_updated": "2010-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AZ",
"license": "AZ0997",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "501826",
"state": "AZ"
}
],
"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 Dec 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.