PECAN CREEK EYECARE LLC
NPI 1477301414
Optometrist in San Tan Valley, AZ

Q: What is Pecan Creek Eyecare LLC's NPI number?

The NPI number for Pecan Creek Eyecare LLC is 1477301414. It was assigned to this organization in the NPPES registry on May 6, 2024.

Q: What is Pecan Creek Eyecare LLC's specialty?

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

Active since May 06, 2024

36351 N GANTZEL RD STE 128, SAN TAN VALLEY, AZ 85140(480) 741-8822(520) 636-1913 Get Directions Write a Review

NPPES record last updated: January 26, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 26, 2026, May 7, 2024 (2 updates tracked since 2024).

On this page

About Pecan Creek Eyecare Llc NPPES

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

PECAN CREEK EYECARE LLC (NPI 1477301414) is a healthcare organization registered as an optometrist in San Tan Valley, Arizona and active in the NPI registry since May 2024. The organization lists Christopher C Carpenter, Owner/doctor, as its authorized official.

NPPES Registry Identity

NPI1477301414

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NamePECAN CREEK EYECARE LLC

Location Address36351 N GANTZEL RD STE 128San Tan Valley, AZ 85140-7033

Mailing Address36351 N Gantzel Rd Ste 128San Tan Valley, AZ 85140-7033 · (480) 741-8822 · Fax (520) 636-1913

Phone(480) 741-8822

Fax(520) 636-1913

Organization SubpartNo

Authorized OfficialChristopher C CarpenterOwner/doctor · (480) 741-8822

Enumeration DateMay 6, 2024

Last NPPES UpdateJanuary 26, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 26, 2026

✔ NPI 1477301414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

36351 N GANTZEL RD STE 128, San Tan Valley, AZ 85140

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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 SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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)

Pecan Creek Eyecare Llc 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 Pecan Creek Eyecare LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Cayden Carpenter, OD

Optometry

NPI 1770324576

36351 N GANTZEL RD STE 128
San Tan Valley, AZ 85140

(480) 540-0629

✔ 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 Pecan Creek Eyecare LLC's NPI number?

The NPI number for Pecan Creek Eyecare LLC is 1477301414. It was assigned to this organization in the NPPES registry on May 6, 2024.

Where is Pecan Creek Eyecare LLC located?

Pecan Creek Eyecare LLC is located at 36351 N Gantzel Rd Ste 128, San Tan Valley, AZ 85140. The listed phone number is (480) 741-8822.

What is Pecan Creek Eyecare LLC's specialty?

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

Is Pecan Creek Eyecare LLC enrolled in Medicare?

Yes. Pecan Creek Eyecare LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pecan Creek Eyecare LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Pecan Creek Eyecare LLC. 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 Pecan Creek Eyecare LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Pecan Creek Eyecare LLC 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 Pecan Creek Eyecare LLC was last updated on January 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.