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ACTIVE EYECARE OF SURPRISE
NPI 1295100204
Clinic/Center in Surprise, AZ

Active since December 02, 2015
16968 W BELL RD, SUITE 402, SURPRISE, AZ 85374(623) 214-0353(623) 214-0693 Get Directions Write a Review

NPPES record last updated: December 2, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Active Eyecare Of Surprise NPPES

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

ACTIVE EYECARE OF SURPRISE (NPI 1295100204) is a healthcare organization registered as a clinic/center in Surprise, Arizona and active in the NPI registry since December 2015. The organization lists Mark Edward Fechtel, Owner, as its authorized official.

NPPES Registry Identity

NPI1295100204
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameACTIVE EYECARE LLC
Location Address16968 W BELL RD, SUITE 402Surprise, AZ 85374-8943
Mailing Address16968 W Bell Rd, Suite 402Surprise, AZ 85374-8943 · (623) 214-0353 · Fax (623) 214-0693
Phone(623) 214-0353
Fax(623) 214-0693
Organization SubpartNo
Authorized OfficialMark Edward FechtelOwner · (623) 214-0353
Enumeration DateDecember 2, 2015
✔ NPI 1295100204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in AZ · 1117
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
16968 W BELL RD, Surprise, AZ 85374
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Other Names 1

Doing Business AsActive Eyecare Of Surprise

Other Identifiers 2

Medicare UPIN084779AZ
Medicare PIN65440AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.Insurance ›

Other Providers at the Same Location NPPES 2

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

DR. SCOTT MICHAEL GILBERT D.P.T.
Specialist
16968 W BELL RD, BUILDING D SUITE 401
SURPRISE, AZ 85374
Maricopa County (623) 537-9108
CANYON PHYSICAL THERAPY, INC.
Specialist
16968 W BELL RD, BUILDING D SUITE 401
SURPRISE, AZ 85374
Maricopa County (623) 537-9108

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 Active Eyecare LLC's NPI number?

The NPI number for Active Eyecare LLC is 1295100204. It was assigned to this organization in the NPPES registry on December 2, 2015. The provider is doing business as Active Eyecare Of Surprise.

Where is Active Eyecare LLC located?

Active Eyecare LLC is located at 16968 W Bell Rd Suite 402, Surprise, AZ 85374. The listed phone number is (623) 214-0353.

What is Active Eyecare LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

What insurance does Active Eyecare LLC accept?

Health plans from BlueCross BlueShield of Tennessee list Active Eyecare LLC 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 Active Eyecare LLC was last updated on December 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.