PRIMARY EYE CARE CENTER OF AHWATUKEE, PLC
NPI 1477166379
Optometrist in Phoenix, AZ

Q: What is Primary Eye Care Center Of Ahwatukee, Plc's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since August 28, 2020CLIA 03D2253722 · Waiver

16515 S 40TH ST STE 111, PHOENIX, AZ 85048(480) 706-2020 Get Directions Write a Review

NPPES record last updated: August 28, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Primary Eye Care Center Of Ahwatukee, Plc NPPES

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

PRIMARY EYE CARE CENTER OF AHWATUKEE, PLC (NPI 1477166379) is a healthcare organization registered as an optometrist in Phoenix, Arizona and active in the NPI registry since August 2020. The organization holds a CLIA Waiver certificate valid through February 22, 2028 and lists Michael De Rubeis, Ceo, as its authorized official.

NPPES Registry Identity

NPI1477166379

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NamePRIMARY EYE CARE CENTER OF AHWATUKEE, PLC

Location Address16515 S 40TH ST STE 111Phoenix, AZ 85048-0559

Mailing Address3107 E South Fork DrPhoenix, AZ 85048-8753 · (480) 330-5081

Phone(480) 706-2020

Organization SubpartNo

Authorized OfficialMichael De RubeisCeo · (480) 706-2020

Enumeration DateAugust 28, 2020

NPPES CertifiedAugust 28, 2020

✔ NPI 1477166379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Also ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X

Also ListedOptometrist · PediatricsTaxonomy 152WP0200X

16515 S 40TH ST STE 111, Phoenix, AZ 85048

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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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

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

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 03D2253722

Primary Eye Care Center Of Ahwatukee, Plc · Phoenix, AZ

Active · expires Feb 22, 2028

CLIA Number03D2253722

Laboratory TypePhysician Office

Certificate Effective DateFebruary 23, 2026

Certificate Expiration DateFebruary 22, 2028

Laboratory DirectorJenna M. Derubeis

Laboratory Phone(480) 706-2020

Laboratory LocationPrimary Eye Care Center Of Ahwatukee, Plc16515 S 40th St Ste 111, Phoenix, AZ 85048

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DR. JENNA DERUBEIS OD

Optometrist

16515 S 40TH ST STE 111
PHOENIX, AZ 85048

Maricopa County (480) 706-2020

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 Primary Eye Care Center Of Ahwatukee, Plc's NPI number?

The NPI number for Primary Eye Care Center Of Ahwatukee, Plc is 1477166379. It was assigned to this organization in the NPPES registry on August 28, 2020.

Where is Primary Eye Care Center Of Ahwatukee, Plc located?

Primary Eye Care Center Of Ahwatukee, Plc is located at 16515 S 40th St Ste 111, Phoenix, AZ 85048. The listed phone number is (480) 706-2020.

What is Primary Eye Care Center Of Ahwatukee, Plc's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Does Primary Eye Care Center Of Ahwatukee, Plc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2253722) is associated with this NPI, valid through February 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Primary Eye Care Center Of Ahwatukee, Plc accept?

Health plans from BlueCross BlueShield of Tennessee list Primary Eye Care Center Of Ahwatukee, Plc 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 Primary Eye Care Center Of Ahwatukee, Plc was last updated on August 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.