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ARIZONA INSTITUTE OF EYE SURGERY LLC NPI 1487845764


NPI Information

NPI: 1487845764
Provider Name: ARIZONA INSTITUTE OF EYE SURGERY LLC

Doing Business As: PRESCOTT VISION & EYE SURGERY CENTER

Classification: Ophthalmology - 207W00000X
Entity Type: Organization

CLIA Number: 03D0932194

Address:
3192 WILLOW CREEK RD
PRESCOTT, AZ
ZIP 86301
Phone: (928) 778-3950
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ARIZONA INSTITUTE OF EYE SURGERY LLC is an ophthalmology in Prescott, AZ. The provider is 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. ARIZONA INSTITUTE OF EYE SURGERY LLC NPI is 1487845764. The provider is registered as an organization entity type.
The provider Is Doing Business As Prescott Vision & Eye Surgery Center.

The provider's business location address is:

3192 WILLOW CREEK RD
PRESCOTT, AZ
ZIP 86301-610
Phone: (928) 778-3950
Fax: (928) 778-3999

The provider's authorized official is Arthur D Brookfield .
The authorized official title is Cfo and has the following contact phone number (602) 598-7488.

The CLIA number assigned to this NPI record is 03D0932194 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/5/2007 and was last updated on 1/16/2024.


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
1261QS0132XClinic/CenterOphthalmologic SurgeryOSC4258ARIZONANo
2207W00000XOphthalmologyARIZONAYes

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
14498OTHERARIZONAPHYSICIAN MEDICAL LICENSE
2190721MEDICAIDARIZONA
3572818OTHERRAN & AMN
403-C0001215OTHERARIZONAMEDICARE CCN
53421045OTHERCIGNA
67442967OTHERAETNA
7280244MEDICAIDARIZONA
8DM2NNPOTHERARIZONA FOUNDATION
9033176-001OTHERMERCYCARE
102Z6546OTHERHEALTHNET
11866291-9714OTHERHUMANA

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: 5/5/2024

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.