Provider Type Icon

NORTHERN ARIZONA EYE ASSOCIATES NPI 1679539688


NPI Information

NPI: 1679539688
Provider Name: NORTHERN ARIZONA EYE ASSOCIATES
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 03D0927706

Address:
900 N SAN FRANCISCO ST
FLAGSTAFF, AZ
ZIP 86001
Phone: (928) 779-7000
Get Directions

NORTHERN ARIZONA EYE ASSOCIATES is an ambulatory surgical clinic center in Flagstaff, AZ. NORTHERN ARIZONA EYE ASSOCIATES NPI is 1679539688. The provider is registered as an organization entity type.

The provider's business location address is:

900 N SAN FRANCISCO ST
FLAGSTAFF, AZ
ZIP 86001-236
Phone: (928) 779-7000

The provider's authorized official is Robert Mahanti .
The authorized official title is President and has the following contact phone number (928) 779-7000.

The CLIA number assigned to this NPI record is 03D0927706 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/26/2006 and was last updated on 4/25/2008.


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
1261QA1903XClinic/CenterAmbulatory SurgicalYes

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
1AZ0204940OTHERARIZONABLUE CROSS BLUE SHIELD
2383589OTHERARIZONAAPIPA
31Z0155OTHERHEALTH NET
44533000OTHERCIGNA
53C0001214MEDICARE ID-TYPE UNSPECIFIEDARIZONA
6383589MEDICAIDARIZONA
7490003130OTHERARIZONAMEDICARE RAILROAD

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.