ARIZONA OCULOFACIAL PLASTIC ORBIT AND COSMETIC SURGERY, LLC (NPI# 1013481977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013481977 |
| Entity Type | Organization |
| Organization Name | ARIZONA OCULOFACIAL PLASTIC ORBIT AND COSMETIC SURGERY, LLC |
| Practice Address |
1055 S Stapley Dr Mesa AZ 85204-5013 |
| Mailing Address |
Po Box 40085 Mesa AZ 85274-0085 |
| Practice Telephone | 4808928400 |
| Practice Fax Number | 4808921889 |
| Mailing Telephone | 3235334452 |
| Mailing Fax Number | 4809949479 |
| Enumeration Date | 2019-01-14 |
| Last Update Date | 2019-01-14 |
| Authorized Official Name | DAVID SOTO (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 4808226230 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS0132X |
Clinic/Center Specialization: Ophthalmologic Surgery |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 247118 | 05 |
| Other Name | Type Code |
|---|---|
| Arizona | Doing Business As Name - Organization |
| Arizona Oculofacial Plastic Orbit and Cosmetic Surgery LLC | Doing Business As Name - Organization |
| Street Address |
1055 S STAPLEY DR |
| City | MESA |
| State | AZ |
| Zip Code | 85204-5013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386649952 | Jeffrey M Gorzitze | Nurse Anesthetist, Certified Registered | 1055 S Stapley Dr, Mesa, AZ 85204-5013 | 2005-06-20 |
| 1043710759 | Jordan Bluth | Optometrist | 1055 S Stapley Dr, Mesa, AZ 85204-5013 | 2018-02-19 |
| 1316311715 | Wallace Henry Jr. | Specialist/Technologist, Other | 1055 S Stapley Dr, Mesa, AZ 85204 | 2015-11-23 |
| 1881919967 | Southwestern Eye Center Ltd | Prosthetic/Orthotic Supplier | 1055 S Stapley Dr, Mesa, AZ 85204-5013 | 2010-04-01 |
| 1093970931 | Matthew Palmer | Optometrist | 1055 S Stapley Dr, Mesa, AZ 85204-5013 | 2008-07-21 |
| 1073703757 | Phillip David Boyer | Ophthalmology | 1055 S Stapley Dr, Mesa, AZ 85204 | 2007-07-27 |
| 1194885590 | Denise Dealva Garcia | Ophthalmology | 1055 S Stapley Dr, Mesa, AZ 85204-5013 | 2006-12-08 |
| 1801983473 | Nicolas Uzcategui | Ophthalmology | 1055 S Stapley Dr, Mesa, AZ 85204 | 2006-10-06 |
| 1902834922 | Southwestern Eye Center Ltd | Clinic/Center | 1055 S Stapley Dr, Mesa, AZ 85204-5013 | 2006-06-29 |
| 1780657288 | Kristia L Owens | Optometrist | 1055 S Stapley Dr, Mesa, AZ 85204-5013 | 2006-02-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194374819 | Luminations Healing Center, LLC | Social Worker | 1237 S. Val Vista Dr. #221, Mesa, AZ 85204 | 2019-09-05 |
| 1881160356 | Wanjiru Landers | Student in an Organized Health Care Education/Training Program | 550 S Linda Circle, Mesa, AZ 85204 | 2018-10-22 |
| 1649754235 | Adam Desnous | Specialist/Technologist | 751 S Daley, Mesa, AZ 85204 | 2018-09-19 |
| 1982128187 | Michael Anthony Jones | Counselor | 1107 North Gilbert Rd, Mesa, AZ 85204 | 2017-07-29 |
| 1295287225 | Scottsdale Healthcare Corp | Family Medicine | 2530 W. Southern Ave, Mesa, AZ 85204 | 2016-10-25 |
| 1427504158 | Richard White | Physician Assistant | 2345 E Southern Ave # 101, Mesa, AZ 85204 | 2016-09-01 |
| 1548716780 | Pain Stop Accident Injury LLC | Chiropractor | 425 E 11th Ave, Mesa, AZ 85204 | 2016-08-28 |
| 1154704252 | Glenn Taylor Lesueur | Dentist | 1056 S. Val Vista Dr., Suite 1, Mesa, AZ 85204 | 2015-07-07 |
| 1073932513 | Naomi Devine | Nurse Practitioner | 1840 South Stapley Drive, Suite 101, Mesa, AZ 85204 | 2014-04-14 |
| 1609292531 | John Kamau | Counselor | 1060 S Lobin Ln, Mesa, AZ 85204 | 2014-03-17 |
| Find all providers in zip 85204 | ||||
| Taxonomy Code | 261QS0132X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ophthalmologic Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992051 | Laveen Lasik and Total Eyecare, LLC | Clinic/Center | 7205 S 51st Ave Ste 201, Laveen, AZ 85339-7326 | 2020-11-04 |
| 1588126791 | Wyatt Surgery Center LLC | Clinic/Center | 2424 N Wyatt Dr Ste 160, Tucson, AZ 85712-6115 | 2019-04-05 |
| 1417994831 | Catalina Surgery Center, LLC | Clinic/Center | 7508 N La Cholla Blvd, Tucson, AZ 85741-2307 | 2006-06-02 |
| 1215983135 | Southwestern Eye Center Ltd | Clinic/Center | 1919 Florence Ave, Kingman, AZ 86401-4684 | 2006-05-25 |
| 1093324956 | Phoenician Eye Specialists | Clinic/Center | 15600 N Black Canyon Hwy # C-102, Phoenix, AZ 85053-4055 | 2020-07-27 |
| 1629524541 | The Cataract Vision Institute LLC | Clinic/Center | 2120 W Ina Rd, Suite 106, Tucson, AZ 85741-2694 | 2016-08-31 |
| 1295280741 | The Cataract Vision Institute LLC | Clinic/Center | 2929 E Camelback Rd, Suite 110, Phoenix, AZ 85016-4424 | 2016-08-24 |
| 1427402817 | The Lasik Vision Institute LLC | Clinic/Center | 2120 W Ina Rd, Suite 106, Tucson, AZ 85741-2694 | 2016-04-21 |
| 1295973931 | Sonoran Desert Vision Center, PC | Clinic/Center | 10255 N 32nd St, Phoenix, AZ 85028-3851 | 2009-02-03 |
| 1831354414 | Southwestern Eye Center Ltd | Clinic/Center | 3003 Highway 95, Ste. 63, Bullhead City, AZ 86442-7860 | 2008-07-23 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.