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PHOENIX RETINA CENTER LLC NPI 1003141771


NPI Information

NPI: 1003141771
Provider Name: PHOENIX RETINA CENTER, LLC
Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
5410 N SCOTTSDALE RD
SUITE A400
PARADISE VALLEY, AZ
ZIP 85253
Phone: (480) 278-8980
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PHOENIX RETINA CENTER, LLC is an ophthalmology in Paradise Valley, AZ. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. PHOENIX RETINA CENTER, LLC NPI is 1003141771. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5410 N SCOTTSDALE RD
SUITE A400
PARADISE VALLEY, AZ
ZIP 85253-927
Phone: (480) 278-8980

The provider's authorized official is Ingeborg E Kirch .
The authorized official title is Owner and has the following contact phone number (480) 278-8980.

The enumeration date for this NPI number is 10/13/2009 and was last updated on 10/21/2010.


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
1207W00000XOphthalmology37088ARIZONAYes

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
1784039OTHERMVP HEALTH CARE
2I19737MEDICARE UPINARIZONA
3042472266OTHERARIZONATRICARE CAMPUS
469793OTHERARIZONAHEALTHYSTART
59317749OTHERARIZONACIGNA HEALTH PLAN
62098466MEDICAIDARIZONA
7042472266OTHERONE HEALTH PLAN
80801554OTHEREVERCARE
9AA15528OTHERARIZONAHARVARD PILGRIM HEALTHCARE
1069793OTHERARIZONACHILDRENS MED SEC PLAN
1190546OTHERARIZONAFALLON COMM HEALTH PLAN
12A37828OTHERARIZONAMEDICARE B
13042472266OTHERPRIVATE HEALTHCARE SYSTEM
14042472266OTHERTHREE RIVERS
152098466OTHERMEDICAID WELFARE
16042472266OTHERARIZONAHEALTHCARE VALUE MGMT
17J28266OTHERBLUE CROSS BLUE SHIELD
182094514OTHERARIZONAFIRST HEALTH
197241458OTHERARIZONAAETNA US HEALTHCARE

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

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