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SOUTHWESTERN EYE CENTER - PRESCOTT VALLEY OPTICAL
NPI 1205304912
Durable Medical Equipment & Medical Supplies in Prescott Valley, AZ

Active since November 12, 2018CLIA 03D2159342 · Waiver
3223 N WINDSONG DR, PRESCOTT VALLEY, AZ 86314(928) 775-6121(928) 775-6301 Get Directions Write a Review

NPPES record last updated: January 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 15, 2023, Apr 7, 2021, Nov 12, 2018 (3 updates tracked since 2018).

About Southwestern Eye Center - Prescott Valley Optical NPPES

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

SOUTHWESTERN EYE CENTER - PRESCOTT VALLEY OPTICAL (NPI 1205304912) is a healthcare organization registered as a durable medical equipment & medical supplies in Prescott Valley, Arizona and active in the NPI registry since November 2018. The organization holds a CLIA Waiver certificate valid through December 17, 2026 and lists Arthur Brookfield, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1205304912
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameSOUTHWESTERN EYE CENTER, LTD
Location Address3223 N WINDSONG DRPrescott Valley, AZ 86314-1222
Mailing Address63 S Rockford Dr Ste 220Tempe, AZ 85288-6226 · (602) 977-6076 · Fax (480) 892-1889
Phone(928) 775-6121
Fax(928) 775-6301
Organization SubpartNo
Authorized OfficialArthur BrookfieldChief Financial Officer · (602) 598-7488
Enumeration DateNovember 12, 2018
Last NPPES UpdateJanuary 16, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 16, 2024
✔ NPI 1205304912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
3223 N WINDSONG DR, Prescott Valley, AZ 86314
Open in Google Maps ↗

Other Names 1

Doing Business AsSouthwestern Eye Center - Prescott Valley Optical

CLIA Laboratory Certificates CMS CLIA

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 03D2159342

Southwestern Eye Center, Ltd Dba M&m Eye Institute · Prescott Valley, AZ
Active · expires Dec 17, 2026
CLIA Number03D2159342
Laboratory TypePhysician Office
Certificate Effective DateDecember 18, 2024
Certificate Expiration DateDecember 17, 2026
Laboratory DirectorStephanie Stone
Laboratory Phone(928) 775-6121
Laboratory LocationSouthwestern Eye Center, Ltd Dba M&m Eye Institute3223 N Windsong Drive, Prescott Valley, AZ 86314
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 Southwestern Eye Center, Ltd carries, from the Medicare DMEPOS supplier directory.

Southwestern Eye Center, Ltd

DMEPOS supplier · Prescott Valley, AZ
✔

Accepts Medicare assignment

Southwestern Eye Center, 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)20525591
Medicare Participant SinceDecember 19, 2011
Supplier Location3223 N Windsong DrPrescott Valley, AZ 86314
Phone(928) 775-6121
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.

DR. BRADLEY DALLAS FREESTONE O.D.
Optometrist
3223 N WINDSONG DR
PRESCOTT VALLEY, AZ 86314
Yavapai County (480) 892-8400
M & M EYE INSTITUTE, PLC
Ophthalmology
3223 N WINDSONG DR
PRESCOTT VALLEY, AZ 86314
Yavapai County (928) 775-6121
INTERNAL MEDICINE SPECIALISTS OF PRESCOTT VALLEY ARIZONA,PC
Clinic/Center (Health Service)
3223 N WINDSONG DR
PRESCOTT VALLEY, AZ 86314
Yavapai County (928) 772-1845
JOHN R MARKHAM PC
Ophthalmology
3223 N WINDSONG DR
PRESCOTT VALLEY, AZ 86314
Yavapai County (928) 778-3950

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 Southwestern Eye Center, Ltd's NPI number?

The NPI number for Southwestern Eye Center, Ltd is 1205304912. It was assigned to this organization in the NPPES registry on November 12, 2018. The provider is doing business as Southwestern Eye Center - Prescott Valley Optical.

Where is Southwestern Eye Center, Ltd located?

Southwestern Eye Center, Ltd is located at 3223 N Windsong Dr, Prescott Valley, AZ 86314. The listed phone number is (928) 775-6121.

What is Southwestern Eye Center, Ltd's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Southwestern Eye Center, Ltd accept Medicare assignment for medical equipment?

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

Does Southwestern Eye Center, Ltd hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2159342) is associated with this NPI, valid through December 17, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Southwestern Eye Center, Ltd was last updated on January 16, 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.