MOHAVE EYE CENTERS LTD
NPI 1063438257
Optometrist in Kingman, AZ

Active since July 14, 2006CLIA Certified · 2 labs
2110 AIRWAY AVE, KINGMAN, AZ 86409(928) 753-2106(928) 753-4283 Get Directions Write a Review

NPPES record last updated: May 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mohave Eye Centers Ltd NPPES

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

MOHAVE EYE CENTERS LTD (NPI 1063438257) is a healthcare organization registered as an optometrist in Kingman, Arizona and active in the NPI registry since July 2006. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Bullhead City, and lists Andrew Ochiltree, Owner, as its authorized official.

NPPES Registry Identity

NPI1063438257
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameMOHAVE EYE CENTERS LTD
Location Address2110 AIRWAY AVEKingman, AZ 86409-3652
Mailing Address2110 Airway AveKingman, AZ 86409-3652 · (928) 753-2106 · Fax (928) 753-4283
Fax(928) 753-4283
Organization SubpartNo
Authorized OfficialAndrew OchiltreeOwner · (928) 753-2106
Enumeration DateJuly 14, 2006
Last NPPES UpdateMay 29, 2024
NPPES CertifiedMay 29, 2024
NPI 1063438257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Also ListedOphthalmologyTaxonomy 207W00000X
2110 AIRWAY AVE, Kingman, AZ 86409

Secondary Practice Location 1

Location 13003 Highway 95 Ste 11Bullhead City, AZ 86442-7896 · Phone (928) 763-1000 · Fax (928) 758-4893

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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 03D2023761

Mohave Eye Centers Ltd · Bullhead City, AZ
Active · expires Apr 28, 2027
CLIA Number03D2023761
Laboratory TypePhysician Office
Certificate Effective DateApril 29, 2025
Certificate Expiration DateApril 28, 2027
Laboratory DirectorJeffrey Bergeson
Laboratory Phone(928) 763-1000
Laboratory LocationMohave Eye Centers Ltd3003 Highway 95 Suite 11, Bullhead City, AZ 86442
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 03D2023767

Mohave Eye Centers Ltd · Kingman, AZ
Active · expires Apr 28, 2027
CLIA Number03D2023767
Laboratory TypePhysician Office
Certificate Effective DateApril 29, 2025
Certificate Expiration DateApril 28, 2027
Laboratory DirectorJeffrey Bergeson
Laboratory Phone(928) 753-2106
Laboratory LocationMohave Eye Centers Ltd2110 Airway Ave, Kingman, AZ 86409
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories Mohave Eye Centers Ltd carries, from the Medicare DMEPOS supplier directory.

Mohave Eye Centers Ltd

DMEPOS supplier · Kingman, AZ

Accepts Medicare assignment

Mohave Eye Centers Ltd agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20637347
Medicare Participant SinceJanuary 1, 1998
Supplier Location2110 Airway AveKingman, AZ 86409
Supplier Specialties
Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Prosthetic Lenses: Prosthetics Cataract Lenses
Cataract Eyeglasses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 4

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

Radiology (Diagnostic Radiology)
2110 AIRWAY AVE
KINGMAN, AZ 86409
Radiology (Diagnostic Radiology)
2110 AIRWAY AVE
KINGMAN, AZ 86409
Radiology (Diagnostic Radiology)
2110 AIRWAY AVE
KINGMAN, AZ 86409
Ophthalmology
2110 AIRWAY AVE
KINGMAN, AZ 86409

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 Mohave Eye Centers Ltd's NPI number?

The NPI number for Mohave Eye Centers Ltd is 1063438257. It was assigned to this organization in the NPPES registry on July 14, 2006.

Where is Mohave Eye Centers Ltd located?

Mohave Eye Centers Ltd is located at 2110 Airway Ave, Kingman, AZ 86409. The listed phone number is (928) 753-2106.

What is Mohave Eye Centers Ltd's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Does Mohave Eye Centers Ltd accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Mohave Eye Centers Ltd accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Mohave Eye Centers 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.

What insurance does Mohave Eye Centers Ltd accept?

Health plans from Blue Cross Blue Shield of Arizona and BlueCross BlueShield of Tennessee list Mohave Eye Centers Ltd as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mohave Eye Centers Ltd was last updated on May 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.