ARIZONA OCULOFACIAL PLASTIC ORBIT AND COSMETIC SURGERY, LLC – NPI #1013481977
Clinic/Center

ARIZONA OCULOFACIAL PLASTIC ORBIT AND COSMETIC SURGERY, LLC is an AHC clinic located in MESA, AZ. NPPES has assigned the NPI number 1013481977 to ARIZONA OCULOFACIAL PLASTIC ORBIT AND COSMETIC SURGERY, LLC on January 14, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. This provider is also associated with 2 additional names listed below. The primary taxonomy selected by this provider is 261QS0132X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ophthalmologic Surgery

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 OCULOFACIAL PLASTIC ORBIT AND COSMETIC SURGERY, LLC below.

NPI Profile for
ARIZONA OCULOFACIAL PLASTIC ORBIT AND COSMETIC SURGERY, LLC

NPI Number
1013481977
Enumeration Date

(more than 7 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
ARIZONA OCULOFACIAL PLASTIC ORBIT AND COSMETIC SURGERY, LLC
Other name(s)
All associated names:
Doing Business As (dba)
Arizona
Doing Business As (dba)
Arizona Oculofacial Plastic Orbit and Cosmetic Surgery LLC
Primary location
1055 S STAPLEY DR
MESA, AZ 85204-5013
Phone: (480) 892-8400 Fax: (480) 892-1889
Mailing address
PO BOX 40085
MESA, AZ 85274-0085
Phone: (323) 533-4452 Fax: (480) 994-9479
Organization Subpart
No
Authorized Official
DAVID SOTO
CREDENTIALING MANAGER
Phone: (480) 822-6230
Updated
Identifiers

Identifiers for ARIZONA OCULOFACIAL PLASTIC ORBIT AND COSMETIC SURGERY, LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDAZ247118
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
261QS0132X
- Clinic/Center / Ophthalmologic Surgery (Primary)

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.