SCOTTSDALE EYE SURGERY CENTER P.C NPI 1295710002

NPI Information

NPI: 1295710002
Provider Name: SCOTTSDALE EYE SURGERY CENTER, P.C
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 03D0529945

Address:
8414 N 90TH ST
SCOTTSDALE, AZ
ZIP 85258
Phone: (480) 949-1208
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SCOTTSDALE EYE SURGERY CENTER, P.C is an ambulatory surgical clinic center in Scottsdale, AZ. SCOTTSDALE EYE SURGERY CENTER, P.C NPI is 1295710002. The provider is registered as an organization entity type.

The provider's business location address is:

8414 N 90TH ST
SCOTTSDALE, AZ
ZIP 85258-395
Phone: (480) 949-1208
Fax: (480) 994-3316

The provider's authorized official is Joyce R. Schweikert .
The authorized official title is Administrator and has the following contact phone number (480) 291-7963.

The CLIA number assigned to this NPI record is 03D0529945 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/14/2005 and was last updated on 5/13/2019.

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
1	261QA1903X	Clinic/Center	Ambulatory Surgical	OSC0047	ARIZONA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	Z3C0001063	OTHER	ARIZONA	MEDICARE
2	062688	MEDICAID	ARIZONA

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

NPI Synchronization or Removal

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