Provider Demographics
NPI:1619002110
Name:ADVANCED PERSPECTIVES EYE CARE
Entity Type:Organization
Organization Name:ADVANCED PERSPECTIVES EYE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:CZYZ
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:602-955-2700
Mailing Address - Street 1:4901 N 44TH ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85018-2782
Mailing Address - Country:US
Mailing Address - Phone:602-955-2700
Mailing Address - Fax:
Practice Address - Street 1:4901 N 44TH ST
Practice Address - Street 2:SUITE 102
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85018-2782
Practice Address - Country:US
Practice Address - Phone:602-955-2700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1118152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ1861453425OtherDR. LISA HO
AZ1558470583OtherDR. THOMAS CZYZ
AZ1962464321OtherDR. AMY CZYZ
AZ1118OtherDR. AMY CZYZ
AZ89382Medicare UPIN
AZ80466Medicare ID - Type UnspecifiedDR. LISA HO
AZ1861453425OtherDR. LISA HO
AZ1118OtherDR. AMY CZYZ
AZ81424Medicare UPIN
AZ1558470583OtherDR. THOMAS CZYZ