RETINA AND VISION INSTITUTE OF ARIZONA
NPI 1457108565
Ophthalmology in Mesa, AZ

Q: What is Retina And Vision Institute Of Arizona's specialty?

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

Active since May 06, 2024

2152 S VINEYARD STE 136, MESA, AZ 85210(480) 471-8004(480) 476-9486 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 9, 2026, May 17, 2024, May 6, 2024 (3 updates tracked since 2024).

On this page

About Retina And Vision Institute Of Arizona NPPES

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

RETINA AND VISION INSTITUTE OF ARIZONA (NPI 1457108565) is a healthcare organization registered as an ophthalmology in Mesa, Arizona and active in the NPI registry since May 2024. The organization lists Derek Yoshio Kunimoto, Owner, as its authorized official.

NPPES Registry Identity

NPI1457108565

Entity TypeOrganization

Primary Taxonomy207W00000X

Legal Business NameRETINA AND VISION INSTITUTE OF ARIZONA

Location Address2152 S VINEYARD STE 136Mesa, AZ 85210-6882

Mailing Address2152 S Vineyard Ste 136Mesa, AZ 85210-6882 · (480) 471-8004 · Fax (480) 476-9486

Phone(480) 471-8004

Fax(480) 476-9486

Organization SubpartNo

Authorized OfficialDerek Yoshio KunimotoOwner · (480) 471-8004

Enumeration DateMay 6, 2024

Last NPPES UpdateMarch 9, 20263 updates tracked since enumeration

NPPES CertifiedMarch 9, 2026

✔ NPI 1457108565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

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.

2152 S VINEYARD STE 136, Mesa, AZ 85210

Open in Google Maps ↗

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.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)

Retina And Vision Institute Of Arizona is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Retina And Vision Institute Of Arizona, which bills Medicare for the services this clinician delivers.

Clinician (1)

Derek Kunimoto, MD

Ophthalmology

NPI 1558329847

2152 S VINEYARD STE 136
Mesa, AZ 85210

(480) 471-8004

✔ PECOS✔ Accepts MedicareSame address

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 Retina And Vision Institute Of Arizona's NPI number?

The NPI number for Retina And Vision Institute Of Arizona is 1457108565. It was assigned to this organization in the NPPES registry on May 6, 2024.

Where is Retina And Vision Institute Of Arizona located?

Retina And Vision Institute Of Arizona is located at 2152 S Vineyard Ste 136, Mesa, AZ 85210. The listed phone number is (480) 471-8004.

What is Retina And Vision Institute Of Arizona's specialty?

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

Is Retina And Vision Institute Of Arizona enrolled in Medicare?

Yes. Retina And Vision Institute Of Arizona is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Retina And Vision Institute Of Arizona?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Ophthalmology) reassigns their Medicare billing to Retina And Vision Institute Of Arizona. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Retina And Vision Institute Of Arizona accept?

Health plans from Ambetter from Arizona Complete Health list Retina And Vision Institute Of Arizona 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 Retina And Vision Institute Of Arizona was last updated on March 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.