ARIZONA RED MOUNTAIN EYECARE PC
NPI 1336289495
Optometrist in Mesa, AZ
About Arizona Red Mountain Eyecare Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ARIZONA RED MOUNTAIN EYECARE PC (NPI 1336289495) is a healthcare organization registered as an optometrist in Mesa, Arizona and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through October 16, 2027 and lists Jeremy Olsen, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
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 Red Mountain Eyecare Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Arizona Red Mountain Eyecare PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 03D2173699
Arizona Red Mountain Eyecare, PC · Mesa, AZFrequently 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 Red Mountain Eyecare PC's NPI number?
The NPI number for Arizona Red Mountain Eyecare PC is 1336289495. It was assigned to this organization in the NPPES registry on February 7, 2007.
Where is Arizona Red Mountain Eyecare PC located?
Arizona Red Mountain Eyecare PC is located at 6136 E Brown Rd Ste 102, Mesa, AZ 85205. The listed phone number is (480) 985-6211.
What is Arizona Red Mountain Eyecare PC's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Arizona Red Mountain Eyecare PC enrolled in Medicare?
Yes. Arizona Red Mountain Eyecare PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Arizona Red Mountain Eyecare PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Optometry, reassign their Medicare billing to Arizona Red Mountain Eyecare PC. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Arizona Red Mountain Eyecare PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 03D2173699) is associated with this NPI, valid through October 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Arizona Red Mountain Eyecare PC accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 3 other insurers list Arizona Red Mountain Eyecare PC 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 Arizona Red Mountain Eyecare PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Arizona Red Mountain Eyecare Pc · NPI 1336289495
Optometrist organization in Mesa, Arizona. Organization record, active in the CMS NPPES registry since February 7, 2007.
## Identity
- **NPI:** 1336289495 (Entity type: Organization)
- **Enumerated:** February 7, 2007
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Jeremy Olsen, PRESIDENT
## Practice location
- **Address:** 6136 E BROWN RD STE 102, Mesa, AZ 85205-4961
- **Phone:** (480) 985-6211
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1336289495) · Data from the CMS NPPES public registry.