ADVANCED LASER &EYE CENTER OF ARIZONA PC (NPI# 1245284934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245284934 |
Entity Type | Organization |
Organization Name | ADVANCED LASER &EYE CENTER OF ARIZONA PC |
Practice Address |
3303 E Baseline Rd #104 Gilbert AZ 85234-2739 |
Practice Telephone | 4806322020 |
Practice Fax Number | 4806322121 |
Mailing Telephone | 4806322020 |
Mailing Fax Number | 4806322121 |
Enumeration Date | 2006-05-19 |
Last Update Date | 2013-01-23 |
Authorized Official Name | KIANOUSH KIAN (OWNER PRESIDENT) |
Authorized Official Telephone | 4806322020 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207W00000X | Ophthalmology | 22618 | AZ | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
EVERCARE | 33209 | 01 | |
AZ | HEALTHNET | 3Z3345 | 01 |
AZ | AETNA INS CO | 1009192 | 01 |
Street Address |
3303 E BASELINE RD #104 |
City | GILBERT |
State | AZ |
Zip Code | 85234-2739 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790786507 | Thomas J Slobig | Internal Medicine | 3303 E Baseline Rd, #208, Gilbert, AZ 85234-2738 | 2005-08-02 |
1356905285 | Jtbl LLC | General Practice | 3303 E Baseline Rd, Gilbert, AZ 85234-2738 | 2019-04-25 |
1043734650 | Tiffany Avery | Acupuncturist | 3303 E Baseline Rd, Gilbert, AZ 85234-2738 | 2017-07-26 |
1538520978 | Stuttering and Speech Therapy of Arizona, LLC | Speech-Language Pathologist | 3303 E Baseline Rd, Bldg 5, Ste 109, Gilbert, AZ 85234-2738 | 2016-03-13 |
1083094122 | New Adaptations Psychotherapy Services LLC | Social Worker | 3303 E Baseline Rd, Suite 114, Gilbert, AZ 85234-2738 | 2015-06-04 |
1649662206 | Advanced Surgery Center of Arizona | Clinic/Center | 3303 E Baseline Rd, Ste. 104, Gilbert, AZ 85234-2739 | 2015-02-19 |
1477942761 | Charise Schwertfeger | Marriage & Family Therapist | 3303 E Baseline Rd, Suite 109, Gilbert, AZ 85234-2738 | 2015-01-09 |
1427456300 | Paul Herbert Kuppinger | Nurse Practitioner | 3303 E Baseline Rd, Suite 203 Bldg 2, Gilbert, AZ 85234-2738 | 2014-12-09 |
1477830057 | Jamie Z Black | Physician Assistant | 3303 E Baseline Rd, Ste.#208, Gilbert, AZ 85234-2738 | 2011-11-09 |
1942523667 | Kelly Marie Sezate | Nurse Practitioner | 3303 E Baseline Rd, Suite 203, Gilbert, AZ 85234-2738 | 2010-03-09 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710500962 | Fatima Health LLC | Nurse Practitioner | 760 North Swallow Lane, Gilbert, AZ 85234 | 2020-05-22 |
1073152070 | American Care Concepts Hospice LLC | Hospice Care, Community Based | 765 N. Lindsay Rd., Ste. 208, Gilbert, AZ 85234 | 2019-12-23 |
1457918864 | Intuitive Healing Counseling Services, Pllc | Counselor | 3303 E Baseline Rd, Building 5, Suite 109, Gilbert, AZ 85234 | 2019-05-21 |
1487123907 | San Tan Behavioral Health Services LLC | Respite Care | 2671 East Vermont Court, Gilbert, AZ 85234 | 2018-11-14 |
1770052292 | San Tan Behavioral Health Services | Respite Care | 3970 East Juanita Avenue, Gilbert, AZ 85234 | 2018-11-14 |
1891262887 | Victoria Elizabeth Klennertt | Behavior Technician | 3503 E Michelle Way, Gilbert, AZ 85234 | 2018-10-27 |
1225503634 | Julia Elizabeth Wiens | Social Worker | 3651 E Baseline Rd Ste 120, Gilbert, AZ 85234 | 2018-10-11 |
1295219798 | Raylene Dawn Cargiulo | Registered Nurse | 55 S. Greenfield Rd., Gilbert, AZ 85234 | 2018-09-20 |
1346729092 | Katherine M Winegar | Nurse Practitioner | Banner Md Anderson Cancer Center- Administration Office, 2940 E Banner Gateway Drive, Gilbert, AZ 85234 | 2018-08-13 |
1881189199 | Desert Valley Oral Surgery | Oral & Maxillofacial Surgery | 2915 E. Baseline Road, Suite 106, Gilbert, AZ 85234 | 2018-06-28 |
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Taxonomy Code | 207W00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Ophthalmology |
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. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417310855 | Michael Johnson | Ophthalmology | 729 N Ocotillo Ln, Gilbert, AZ 85233-3707 | 2016-04-02 |
1497971840 | Desert Vista Eye Specialists PC An | Ophthalmology | 2450 E Guadalupe Rd Ste 107, Gilbert, AZ 85234-5116 | 2007-04-17 |
1962456590 | Kianoush Kian | Ophthalmology | 3303 E Baseline Rd, Suite 104, Gilbert, AZ 85234-2739 | 2006-05-19 |
1205800331 | R Stuart Eason | Ophthalmology | 2450 E Guadalupe Rd, Ste 107, Gilbert, AZ 85234-5116 | 2006-02-15 |
1952375099 | Desert Vista Eyewear | Ophthalmology | 2450 E Guadalupe Rd, Ste 107, Gilbert, AZ 85234-5116 | 2006-02-15 |
1083688113 | Lawrence Stephen Kahn | Ophthalmology | 2450 E Guadalupe Rd, Ste 107, Gilbert, AZ 85234-5116 | 2006-02-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467940015 | Jin Zhang | Ophthalmology | 655 N Alvernon Way Ste 204, Tucson, AZ 85711 | 2018-04-30 |
1376057349 | K E Express Pllc | Ophthalmology | 16425 E Palisades Blvd Ste 102, Fountain Hills, AZ 85268-3754 | 2017-11-28 |
1891241964 | Arizona Retina Associates, Pllc | Ophthalmology | 6262 E Broadway Rd Ste 106, Mesa, AZ 85206-6101 | 2016-08-29 |
1679936512 | Sravanthi Vegunta | Ophthalmology | 11023 N Saint Andrews Way, Scottsdale, AZ 85254-4801 | 2016-03-29 |
1962881698 | Nishi Madhusudan Shah | Ophthalmology | 3815 E Bell Rd Ste 2500, Phoenix, AZ 85032-2151 | 2015-05-27 |
1316332596 | M & M Eye Institute, Plc | Ophthalmology | 399 W Palomino Rd, Chino Valley, AZ 86323-5648 | 2015-04-03 |
1609279165 | Anew Vision Eye Specialists, Pllc | Ophthalmology | 20325 N 51st Ave Ste 130, Glendale, AZ 85308-5677 | 2014-09-29 |
1982010773 | Phoenix Eye Group, LLC | Ophthalmology | 10250 N 92nd St Ste 105, Scottsdale, AZ 85258-4517 | 2014-07-01 |
1477984862 | James Chipman Wootton | Ophthalmology | 6202 N 22nd St, Phoenix, AZ 85016-2003 | 2013-12-10 |
1649614124 | Chandler Eye Center | Ophthalmology | 1311 W Chandler Blvd, 110, Chandler, AZ 85224-6114 | 2013-04-26 |
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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.