ARIZONA GLAUCOMA SPECIALISTS - NORTH PHOENIX, LLC
NPI 1245659531
Ophthalmology in Phoenix, AZ

Q: What is Arizona Glaucoma Specialists - North Phoenix, LLC's specialty?

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

Active since April 15, 2014

20940 N TATUM BLVD, SUITE 250, PHOENIX, AZ 85050(480) 538-7075(480) 538-7952 Get Directions Write a Review

NPPES record last updated: September 29, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Arizona Glaucoma Specialists - North Phoenix, Llc NPPES

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

ARIZONA GLAUCOMA SPECIALISTS - NORTH PHOENIX, LLC (NPI 1245659531) is a healthcare organization registered as an ophthalmology in Phoenix, Arizona and active in the NPI registry since April 2014. The organization lists Max Chung Ho Kim, President, as its authorized official.

NPPES Registry Identity

NPI1245659531

Entity TypeOrganization

Primary Taxonomy207W00000X

Legal Business NameARIZONA GLAUCOMA SPECIALISTS - NORTH PHOENIX, LLC

Location Address20940 N TATUM BLVD, SUITE 250Phoenix, AZ 85050-7246

Mailing Address20940 N Tatum Blvd, Suite 250Phoenix, AZ 85050-7246 · (480) 538-7075 · Fax (480) 538-7952

Phone(480) 538-7075

Fax(480) 538-7952

Organization SubpartNo

Authorized OfficialMax Chung Ho KimPresident · (480) 538-7075

Enumeration DateApril 15, 2014

Last NPPES UpdateSeptember 29, 2014

✔ NPI 1245659531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in AZ · 35715

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.

20940 N TATUM BLVD, Phoenix, AZ 85050

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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 SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Arizona Glaucoma Specialists - North Phoenix, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 5 clinicians reassign Medicare billing to Arizona Glaucoma Specialists - North Phoenix, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Max Kim, MD

Ophthalmology

NPI 1851300461

20940 N TATUM BLVD SUITE 250
Phoenix, AZ 85050

(480) 538-7075

✔ PECOS✔ Accepts MedicareSame address

David Kay, M.D.

Ophthalmology

NPI 1487067484

6402 E SUPERSTITION SPRINGS BLVD STE 104
Mesa, AZ 85206

(480) 396-9339

✔ PECOS✔ Accepts Medicare26 mi

Alisha Fajardo-Diaz, O.D.

Optometry

NPI 1831328764

3940 S ALMA SCHOOL RD STE 5
Chandler, AZ 85248

(480) 812-3937

✔ PECOS✔ Accepts Medicare30 mi

Jeffrey Kay, MD

Ophthalmology

NPI 1073601274

6599 N ORACLE RD
Tucson, AZ 85704

(520) 544-4393

✔ PECOS110 mi

Jonathan Kay, O.D.

Optometry

NPI 1770136798

6599 N ORACLE RD
Tucson, AZ 85704

(520) 544-4393

✔ PECOS✔ Accepts Medicare110 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Arizona Glaucoma Specialists - North Phoenix, LLC's NPI number?

The NPI number for Arizona Glaucoma Specialists - North Phoenix, LLC is 1245659531. It was assigned to this organization in the NPPES registry on April 15, 2014.

Where is Arizona Glaucoma Specialists - North Phoenix, LLC located?

Arizona Glaucoma Specialists - North Phoenix, LLC is located at 20940 N Tatum Blvd Suite 250, Phoenix, AZ 85050. The listed phone number is (480) 538-7075.

What is Arizona Glaucoma Specialists - North Phoenix, LLC's specialty?

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

Is Arizona Glaucoma Specialists - North Phoenix, LLC enrolled in Medicare?

Yes. Arizona Glaucoma Specialists - North Phoenix, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Arizona Glaucoma Specialists - North Phoenix, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Arizona Glaucoma Specialists - North Phoenix, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Ophthalmology (3) and Optometry (2). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Arizona Glaucoma Specialists - North Phoenix, LLC was last updated on September 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.