PRIMARY EYE CARE CENTER OF AHWATUKEE, PLC
NPI 1477166379
Optometrist in Phoenix, AZ
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
Specialties & Licenses 3
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)
Primary Eye Care Center Of Ahwatukee, Plc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Primary Eye Care Center Of Ahwatukee, Plc, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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 03D2253722
Primary Eye Care Center Of Ahwatukee, Plc · Phoenix, 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 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.
Is Primary Eye Care Center Of Ahwatukee, Plc enrolled in Medicare?
Yes. Primary Eye Care Center Of Ahwatukee, Plc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Primary Eye Care Center Of Ahwatukee, Plc?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Primary Eye Care Center Of Ahwatukee, Plc. 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and 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 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.
# Primary Eye Care Center Of Ahwatukee, Plc · NPI 1477166379
Optometrist organization in Phoenix, Arizona. Organization record, active in the CMS NPPES registry since August 28, 2020.
## Identity
- **NPI:** 1477166379 (Entity type: Organization)
- **Enumerated:** August 28, 2020
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Michael De Rubeis, CEO
## Practice location
- **Address:** 16515 S 40TH ST STE 111, Phoenix, AZ 85048-0559
- **Phone:** (480) 706-2020
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 28, 2020
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1477166379) · Data from the CMS NPPES public registry.