OCULOPLASTIC EYE SURGEONS OF PHOENIX P.L.C. NPI 1821457532

NPI Information

  • NPI: 1821457532
  • Provider Name: OCULOPLASTIC EYE SURGEONS OF PHOENIX P.L.C.
  • Classification: Ophthalmology - 207WX0200X
  • Specialization: Ophthalmic Plastic and Reconstructive Surgery
  • Entity Type: Organization
  • CLIA Number: 03D2313095
  • Address: 9151 W THUNDERBIRD RD # G104
    PEORIA, AZ
    ZIP 85381
  • Phone: (623) 522-8687

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NPI Details

OCULOPLASTIC EYE SURGEONS OF PHOENIX P.L.C. is an ophthalmic plastic and reconstructive surgery ophthalmology in Peoria, AZ. The provider is a physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck. OCULOPLASTIC EYE SURGEONS OF PHOENIX P.L.C. NPI is 1821457532. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9151 W THUNDERBIRD RD # G104
PEORIA, AZ
ZIP 85381-906
Phone: (623) 522-8687
Fax: (623) 522-8683

The provider's authorized official is Lisa Dianne Mihora .
The authorized official title is Owner and has the following contact phone number (480) 788-1134.

The CLIA number assigned to this NPI record is 03D2313095 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/23/2016 and was last updated on 8/24/2022.

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
1207WX0200XOphthalmologyOphthalmic Plastic and Reconstructive Surgery44635ARIZONAYes

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
1143418MEDICAIDARIZONA

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: 3/30/2025

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