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ARROWHEAD EYE CENTER
NPI 1467634477
Specialist in Peoria, AZ

Active since November 30, 2007CLIA 03D2072438 · Waiver
13943 N. 91ST AVE BLDG G, PEORIA, AZ 85381(623) 561-1995(623) 561-2446 Get Directions Write a Review

NPPES record last updated: July 1, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Arrowhead Eye Center NPPES

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

ARROWHEAD EYE CENTER (NPI 1467634477) is a healthcare organization registered as a specialist in Peoria, Arizona and active in the NPI registry since November 2007. The organization holds a CLIA Waiver certificate valid through January 29, 2028 and lists Richard M Kootman, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1467634477
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameRICHARD M. KOOTMAN M.D.,P.C.
Location Address13943 N. 91ST AVE BLDG GPeoria, AZ 85381-3687
Mailing Address13943 N. 91st Ave Bldg GPeoria, AZ 85381-3687 · (623) 561-1995 · Fax (623) 561-2446
Phone(623) 561-1995
Fax(623) 561-2446
Organization SubpartNo
Authorized OfficialRichard M KootmanMedical Director · (623) 561-1995
Enumeration DateNovember 30, 2007
Last NPPES UpdateJuly 1, 2008
✔ NPI 1467634477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in AZ · 19610
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
13943 N. 91ST AVE BLDG G, Peoria, AZ 85381
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Other Names 1

Other NameArrowhead Eye Center

Other Identifiers 2

Medicare NSC1258130001AZ
Medicare PINZWCLFPAZ

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

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 03D2072438

Richard M Kootman MD PC · Peoria, AZ
Active · expires Jan 29, 2028
CLIA Number03D2072438
Laboratory TypePhysician Office
Certificate Effective DateJanuary 30, 2026
Certificate Expiration DateJanuary 29, 2028
Laboratory DirectorRichard M. Kootman
Laboratory Phone(623) 561-1995
Laboratory LocationRichard M Kootman MD PC13943 North 91st Ave Bldg G, Peoria, AZ 85381
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Richard M. Kootman M.D.,p.C.'s NPI number?

The NPI number for Richard M. Kootman M.D.,p.C. is 1467634477. It was assigned to this organization in the NPPES registry on November 30, 2007. The provider is also known as Arrowhead Eye Center.

Where is Richard M. Kootman M.D.,p.C. located?

Richard M. Kootman M.D.,p.C. is located at 13943 N. 91st Ave Bldg G, Peoria, AZ 85381. The listed phone number is (623) 561-1995.

What is Richard M. Kootman M.D.,p.C.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Richard M. Kootman M.D.,p.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2072438) is associated with this NPI, valid through January 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Richard M. Kootman M.D.,p.C. was last updated on July 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.