Provider Demographics
NPI:1265591374
Name:SCOTTSDALE CENTER FOR SIGHT, PLC
Entity type:Organization
Organization Name:SCOTTSDALE CENTER FOR SIGHT, PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:YVETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-483-8882
Mailing Address - Street 1:14269 N 87TH ST STE 203
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-3695
Mailing Address - Country:US
Mailing Address - Phone:480-483-8882
Mailing Address - Fax:
Practice Address - Street 1:14269 N 87TH ST STE 203
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-3695
Practice Address - Country:US
Practice Address - Phone:480-483-8882
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-06
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ29999207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ80272Medicare ID - Type Unspecified
AZH52302Medicare UPIN