ASSOCIATED OPHTHALMOLOGIST NPI 1245561000

NPI Information

  • NPI: 1245561000
  • Provider Name: ASSOCIATED OPHTHALMOLOGIST
  • Classification: Ophthalmology - 207W00000X
  • Entity Type: Organization
  • Doing Business As: ARIZONA EYE SPECIALIST
  • CLIA Number: 03D2117483
  • Address: 5620 W THUNDERBIRD RD STE B1
    GLENDALE, AZ
    ZIP 85306
  • Phone: (602) 547-2002

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NPI Details

ASSOCIATED OPHTHALMOLOGIST is an ophthalmology in Glendale, 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. ASSOCIATED OPHTHALMOLOGIST NPI is 1245561000. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Arizona Eye Specialist.

The provider's business location address is:

5620 W THUNDERBIRD RD STE B1
GLENDALE, AZ
ZIP 85306-638
Phone: (602) 547-2002
Fax: (480) 990-7364

The provider's authorized official is Brandi Reshetar .
The authorized official title is Cfo and has the following contact phone number (480) 990-7271.

The CLIA number assigned to this NPI record is 03D2117483 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/19/2010 and was last updated on 4/27/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207W00000XOphthalmologyYes

What is NPI?

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This page was last updated on: 11/21/2025

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