PHOENIX OPHTHALMOLOGISTS PA
NPI 1356377873
Ophthalmology in Phoenix, AZ
About Phoenix Ophthalmologists Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PHOENIX OPHTHALMOLOGISTS PA (NPI 1356377873) is a healthcare organization registered as an ophthalmology in Phoenix, Arizona and active in the NPI registry since June 2006. The organization lists Jeremy Vanburen, Md, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Phoenix Ophthalmologists Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Phoenix Ophthalmologists PA, 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 (5)
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 Phoenix Ophthalmologists PA's NPI number?
The NPI number for Phoenix Ophthalmologists PA is 1356377873. It was assigned to this organization in the NPPES registry on June 25, 2006.
Where is Phoenix Ophthalmologists PA located?
Phoenix Ophthalmologists PA is located at 1130 E Missouri Ave Ste 100, Phoenix, AZ 85014. The listed phone number is (602) 995-1166.
What is Phoenix Ophthalmologists PA's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Phoenix Ophthalmologists PA enrolled in Medicare?
Yes. Phoenix Ophthalmologists PA is registered in the Medicare PECOS enrollment system.
When is Phoenix Ophthalmologists PA's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Arizona, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Phoenix Ophthalmologists PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Phoenix Ophthalmologists PA. 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 Optometry (4) and Ophthalmology (1). 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.
What insurance does Phoenix Ophthalmologists PA accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 3 other insurers list Phoenix Ophthalmologists PA 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 Phoenix Ophthalmologists PA was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Phoenix Ophthalmologists Pa · NPI 1356377873
Ophthalmology organization in Phoenix, Arizona. Organization record, active in the CMS NPPES registry since June 25, 2006.
## Identity
- **NPI:** 1356377873 (Entity type: Organization)
- **Enumerated:** June 25, 2006
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **Organization subpart:** No
- **Authorized official:** Jeremy Vanburen, MD
## Practice location
- **Address:** 1130 E MISSOURI AVE STE 100, Phoenix, AZ 85014-2712
- **Phone:** (602) 995-1166 · **Fax:** (602) 995-1166
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Arizona, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 5 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Optometry (4), Ophthalmology (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 21, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1356377873) · Data from the CMS NPPES public registry.