EYE CARE FOR KIDS ARIZONA CHAPTER INC (NPI# 1639723471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639723471 |
| Entity Type | Organization |
| Organization Name | EYE CARE FOR KIDS ARIZONA CHAPTER INC |
| Practice Address |
6615 N 39th Ave Phoenix AZ 85019-1334 |
| Mailing Address |
6911 S State St Midvale UT 84047-1239 |
| Practice Telephone | 8012855443 |
| Mailing Telephone | 8012855443 |
| Mailing Fax Number | 8012558526 |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2019-07-30 |
| Authorized Official Name | MR. JOSEPH G CARBONE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8012855443 |
| Authorized Official Credential | ABOC, NCLC |
| Is Organization Subpart | Y |
| Parent Organization Name | EYE CARE FOR KIDS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 156FC0800X |
Technician/Technologist Specialization: Contact Lens |
Eye and Vision Services Providers | ||
| N | 156FC0801X |
Technician/Technologist Specialization: Contact Lens Fitter |
Eye and Vision Services Providers | ||
| N | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers | ||
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| Eye Care 4 Kids | Doing Business As Name - Organization |
| Street Address |
6615 N 39TH AVE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85019-1334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861964488 | Roger Beck Slice | Registered Nurse | 6331 N. 39th Ave., Phoenix, AZ 85019 | 2018-12-20 |
| 1093204687 | Patricia Enevy Gomez Jayme | Physical Therapist | 532 W Thomas Rd Suite 5, Phoenix, AZ 85019 | 2018-05-09 |
| 1396257762 | Shirley Ann Furlong | Licensed Practical Nurse | Alhambra School District No 68, 4510 N 37th Avenue, Phoenix, AZ 85019 | 2017-10-25 |
| 1508253014 | Benjamin Noel Zuniga | Dentist | 3542 W Camelback Rd, Phoenix, AZ 85019 | 2015-04-22 |
| 1063610475 | German Dobson Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | Thomas & 43rd Ave, Phoenix, AZ 85019 | 2007-07-06 |
| 1558489575 | Beverly Beierbach Wells | Speech-Language Pathologist | 3839 W Camelback Road, Phoenix, AZ 85019 | 2007-03-27 |
| 1497872600 | Josefa Almanza | Speech-Language Pathologist | 4006 W Osborn Rd, Phoenix, AZ 85019 | 2007-03-23 |
| 1760550024 | Steven C Chang | Dentist | 3608 W Camelback Rd, Phoenix, AZ 85019 | 2006-12-02 |
| 1891723623 | George Figueroa | Obstetrics & Gynecology | 3660 W. Bethany Home Road, Suite A, Phoenix, AZ 85019 | 2006-06-29 |
| 1881169704 | Janice Jinju Kim | Dentist | 3608 W Camelback Rd, Phoenix, AZ 85019 | 2018-10-07 |
| Find all providers in zip 85019 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689283830 | Kelsie Stevens | Optometrist | 6815 N 19th Ave Ste 130, Phoenix, AZ 85015-1135 | 2020-07-23 |
| 1134747801 | National Vision Inc | Optometrist | 1838 W Bell Rd, Phoenix, AZ 85023-3480 | 2020-07-09 |
| 1770109282 | Nathan Jones | Optometrist | 6135 N 35th Ave Ste 139, Phoenix, AZ 85017-1953 | 2020-06-20 |
| 1447874755 | Jenna Derubeis | Optometrist | 16515 S 40th St Ste 111, Phoenix, AZ 85048-0559 | 2020-06-02 |
| 1184250383 | Jhajaira Elizabeth Cadenas | Optometrist | 3937 W Northview Ave, Phoenix, AZ 85051 | 2020-03-19 |
| 1659927663 | National Vision Inc | Optometrist | 2805 W Agua Fria Fwy Ste 1, Phoenix, AZ 85027-3940 | 2019-08-15 |
| 1588148993 | Jillian Ralston | Optometrist | 112 W Mcdowell Road, Phoenix, AZ 85003 | 2018-09-20 |
| 1932680618 | Carefree Eyecare | Optometrist | 3170 W Carefree Hwy Ste C3c4, Phoenix, AZ 85086-3205 | 2018-08-22 |
| 1710464417 | Ngoc Le | Optometrist | 1650 E Camelback Rd Ste 160, Phoenix, AZ 85016-3947 | 2018-07-25 |
| 1255826681 | Eric Bradford Vanausdal | Optometrist | 15215 S 48th St Ste 180, Phoenix, AZ 85044-9140 | 2018-06-27 |
| Find all providers in PHOENIX | ||||
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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.