SPECTRA EYE INSTITUTE LLC NPI 1962943118

NPI Information

  • NPI: 1962943118
  • Provider Name: SPECTRA EYE INSTITUTE, LLC
  • Classification: Clinic/Center - 261QS0132X
  • Specialization: Ophthalmologic Surgery
  • Entity Type: Organization
  • CLIA Number: 03D2127272
  • Address: 15401 N 29TH AVE
    201
    PHOENIX, AZ
    ZIP 85053
  • Phone: (623) 583-2020

Map and Directions

Get Directions

NPI Details

SPECTRA EYE INSTITUTE, LLC is an ophthalmologic surgery clinic center in Phoenix, AZ. SPECTRA EYE INSTITUTE, LLC NPI is 1962943118. The provider is registered as an organization entity type.

The provider's business location address is:

15401 N 29TH AVE
201
PHOENIX, AZ
ZIP 85053-001
Phone: (623) 583-2020
Fax: (623) 583-2513

The provider's authorized official is Jan Amator .
The authorized official title is Ceo and has the following contact phone number (623) 583-2020.

The CLIA number assigned to this NPI record is 03D2127272 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Removal of recurring cataract in lens capsule using a laser (HCPCS:66821)
  • Removal of excessive skin and fat of upper eyelid (HCPCS:15823)
  • Complex removal of cataract with insertion of prosthetic lens (HCPCS:66982)
  • Laser repair to improve eye fluid flow (HCPCS:65855)
  • Dilation to improve eye fluid flow (HCPCS:66174)
  • Removal of eye fluid (vitreous) between lens and retina (HCPCS:67036)
  • Removal of membrane of retina with removal of internal limiting membrane of retina (HCPCS:67042)
  • Repair of detached retina with drainage and removal of eye fluid between lens and retina (HCPCS:67108)
  • Removal of membrane of retina (HCPCS:67041)
  • Repair of tendon of upper eyelid (HCPCS:67904)
  • Destruction of lens tissue using laser (HCPCS:66710)
  • Complex repair of detached retina and drainage of eye fluid between lens and retina (HCPCS:67113)
  • Destruction of eye fluid (vitreous) between lens and retina and all of retina using a laser (HCPCS:67040)
  • Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye (HCPCS:66991)
  • Exchange of prosthetic lens (HCPCS:66986)
  • Destruction of eye fluid (vitreous) between lens and retina using a laser (HCPCS:67039)
  • Removal of over 1/4 of eyelid margin and repair of eyelid (HCPCS:67966)
  • Processing, preserving and transporting corneal tissue (HCPCS:V2785)
  • Creation of shunt to improve eye fluid flow using tissue graft (HCPCS:66180)
  • Full thickness skin graft to nose, ears, eyelids, or lips, 20.0 sq cm or less (HCPCS:15260)
  • Insertion of eye fluid drainage device (HCPCS:66183)
  • Revision or repair of operative wound of eye (HCPCS:66250)
  • Removal or relocation of corneal conjunctiva with graft (HCPCS:65426)
  • Transplantation of outer layer of corneal tissue (HCPCS:65756)

The enumeration date for this NPI number is 3/20/2017 and was last updated on 11/15/2021.

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
1261QA1903XClinic/CenterAmbulatory SurgicalNo
2261QS0132XClinic/CenterOphthalmologic SurgeryYes

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
1544256OTHERARIZONAAHCCCS

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: 11/21/2025

NPI Synchronization or Removal

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.