ASSOCIATED RETINA CONSULTANTS, LTD.
NPI 1053592428
Ophthalmology in Prescott, AZ

Active since November 14, 2007CLIA Certified · 2 labs
1022 WILLOW CREEK RD, PRESCOTT, AZ 86301(602) 242-4928(602) 249-4813 Get Directions Write a Review

NPPES record last updated: February 21, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Associated Retina Consultants, Ltd. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ASSOCIATED RETINA CONSULTANTS, LTD. (NPI 1053592428) is a healthcare organization registered as an ophthalmology in Prescott, Arizona and active in the NPI registry since November 2007. The organization holds 2 active CLIA laboratory certificates and lists Kim K Jones, Credentialist, as its authorized official.

NPPES Registry Identity

NPI1053592428
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameASSOCIATED RETINA CONSULTANTS, LTD.
Location Address1022 WILLOW CREEK RDPrescott, AZ 86301-1607
Mailing Address7600 N 15th St, Suite 155Phoenix, AZ 85020-4327 · (602) 242-4928 · Fax (602) 249-4813
Fax(602) 249-4813
Organization SubpartNo
Authorized OfficialKim K JonesCredentialist · (602) 216-1144
Enumeration DateNovember 14, 2007
Last NPPES UpdateFebruary 21, 2008
NPI 1053592428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
1022 WILLOW CREEK RD, Prescott, AZ 86301

Other Identifiers 1

Medicare PINZWDBVFAZ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2096290

Associated Retina Consultants · Peoria, AZ
Active · expires May 19, 2027
CLIA Number03D2096290
Laboratory TypePractitioner Other
Certificate Effective DateMay 20, 2025
Certificate Expiration DateMay 19, 2027
Laboratory DirectorAlan J. Gordon
Laboratory Phone(602) 242-4928
Laboratory LocationAssociated Retina Consultants15353 N 91st Ave, Peoria, AZ 85381
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 03D1065267

Associated Retina Consultants · Phoenix, AZ
Active · expires Feb 25, 2027
CLIA Number03D1065267
Laboratory TypePhysician Office
Certificate Effective DateFebruary 26, 2025
Certificate Expiration DateFebruary 25, 2027
Laboratory DirectorBenjamin Ba Bakall
Laboratory Phone(480) 999-5458
Laboratory LocationAssociated Retina Consultants1750 E Glendale Ave, Phoenix, AZ 85020
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Ophthalmology
1022 WILLOW CREEK RD, SUITE 200
PRESCOTT, AZ 86301
Ophthalmology
1022 WILLOW CREEK RD, SUITE 200
PRESCOTT, AZ 86301
Clinic/Center (Ophthalmologic Surgery)
1022 WILLOW CREEK RD
PRESCOTT, AZ 86301
Optometrist
1022 WILLOW CREEK RD, SUITE 200
PRESCOTT, AZ 86301
Eyewear Supplier
1022 WILLOW CREEK RD, SUITE 200
PRESCOTT, AZ 86301
Optometrist
1022 WILLOW CREEK RD
PRESCOTT, AZ 86301
Ophthalmology
1022 WILLOW CREEK RD, SUITE 200
PRESCOTT, AZ 86301
Optometrist
1022 WILLOW CREEK RD
PRESCOTT, AZ 86301

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Associated Retina Consultants, Ltd.'s NPI number?

The NPI number for Associated Retina Consultants, Ltd. is 1053592428. It was assigned to this organization in the NPPES registry on November 14, 2007.

Where is Associated Retina Consultants, Ltd. located?

Associated Retina Consultants, Ltd. is located at 1022 Willow Creek Rd, Prescott, AZ 86301. The listed phone number is (602) 242-4928.

What is Associated Retina Consultants, Ltd.'s specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Does Associated Retina Consultants, Ltd. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Associated Retina Consultants, Ltd. was last updated on February 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.