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DESERT EYE PC NPI 1477823219


NPI Information

NPI: 1477823219
Provider Name: DESERT EYE PC

Doing Business As: DESERT EYE

Classification: Point of Service - 305S00000X
Entity Type: Organization
Address:
3200 S RURAL RD STE 1
TEMPE, AZ
ZIP 85282
Phone: (480) 966-0522
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DESERT EYE PC is a point of service in Tempe, AZ. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. DESERT EYE PC NPI is 1477823219. The provider is registered as an organization entity type.
The provider Is Doing Business As Desert Eye.

The provider's business location address is:

3200 S RURAL RD STE 1
TEMPE, AZ
ZIP 85282-870
Phone: (480) 966-0522
Fax: (480) 966-0650

The provider's authorized official is John Dugan Pearson .
The authorized official title is Owner/president and has the following contact phone number (480) 966-0522.

The enumeration date for this NPI number is 1/11/2012 and was last updated on 1/11/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1305S00000XPoint of Service1026ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1Z147459OTHERARIZONAPTAN
21922314905OTHERARIZONANPI
3Z141558MEDICARE PIN
4Z141996MEDICARE PIN
5Z141997MEDICARE PINARIZONA
6Z147459MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.