ARIZONA OPHTHALMIC OUTPATIENT SURGERY – NPI #1760454557
Clinic/Center

ARIZONA OPHTHALMIC OUTPATIENT SURGERY is an AHC clinic located in PHOENIX, AZ. NPPES has assigned the NPI number 1760454557 to ARIZONA OPHTHALMIC OUTPATIENT SURGERY on February 06, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ARIZONA OPHTHALMIC OUTPATIENT SURGERY” is a dba name, the actual legal business name for this organization is PHOENIX OPHTHALMOLOGY ASC LLC. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 4 years ago on Sep 09, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ARIZONA OPHTHALMIC OUTPATIENT SURGERY below.

NPI Profile for
PHOENIX OPHTHALMOLOGY ASC LLC

NPI Number
1760454557
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PHOENIX OPHTHALMOLOGY ASC LLC
Doing Business As (dba): ARIZONA OPHTHALMIC OUTPATIENT SURGERY
Primary location
300 E OSBORN RD
SUITE 102
PHOENIX, AZ 85012-2347
Phone: (602) 234-8478 Fax: (602) 234-8492
Mailing address
1A BURTON HILLS BLVD # L&C
NASHVILLE, TN 37215-6187
Phone: (615) 240-3820 Fax: (615) 234-1720
Organization Subpart
No
Authorized Official
JEFFREY SNODGRASS
PRESIDENT
Phone: (615) 665-1283
Updated
Certification Date
Sep 09, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)		 AZ OSC0082

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.