DESERT EYECARE CENTER
NPI 1477800126
Optometrist in Maricopa, AZ

Active since August 13, 2012
21300 N JOHN WAYNE PKWY STE 105, MARICOPA, AZ 85139(520) 201-3937 Get Directions Write a Review

NPPES record last updated: June 14, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Desert Eyecare Center NPPES

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

DESERT EYECARE CENTER (NPI 1477800126) is a healthcare organization registered as an optometrist in Maricopa, Arizona and active in the NPI registry since August 2012. The organization lists Kelley Lawrence, President, as its authorized official.

NPPES Registry Identity

NPI1477800126
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameDESERT EYECARE CENTER
Location Address21300 N JOHN WAYNE PKWY STE 105Maricopa, AZ 85139-8964
Mailing Address21300 N John Wayne Pkwy Ste 105Maricopa, AZ 85139-8964 · (520) 201-3937
Organization SubpartNo
Authorized OfficialKelley LawrencePresident · (520) 201-3937
Enumeration DateAugust 13, 2012
Last NPPES UpdateJune 14, 2020
NPPES CertifiedJune 14, 2020
✔ NPI 1477800126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in AZ · 1757
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.
21300 N JOHN WAYNE PKWY STE 105, Maricopa, AZ 85139

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

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Desert Eyecare Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateArizonaEnrollment IDO20121031000497Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Desert Eyecare Center, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Optometry
NPI 1568775229
21300 N JOHN WAYNE PKWY STE 105
Maricopa, AZ 85139
(520) 201-3937
✔ PECOSSame address
Optometry
NPI 1750542825
21300 N JOHN WAYNE PKWY STE 105
Maricopa, AZ 85139
(520) 201-3937
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1386121911
21300 N JOHN WAYNE PKWY STE 105
Maricopa, AZ 85139
(520) 201-3937
✔ PECOS✔ Accepts Medicare0.1 mi
Optometry
NPI 1265091326
7245 E OSBORN RD STE 4
Scottsdale, AZ 85251
(480) 994-5012
✔ PECOS✔ Accepts Medicare29 mi
Optometry
NPI 1407239254
12450 N 32ND ST
Phoenix, AZ 85032
(602) 494-0054
✔ PECOS✔ Accepts Medicare36 mi
Optometry
NPI 1104400472
4830 KNIGHTSBRIDGE BLVD STE G
Columbus, OH 43214
(614) 488-8000
✔ PECOS✔ Accepts Medicare1,675 mi

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 Desert Eyecare Center's NPI number?

The NPI number for Desert Eyecare Center is 1477800126. It was assigned to this organization in the NPPES registry on August 13, 2012.

Where is Desert Eyecare Center located?

Desert Eyecare Center is located at 21300 N John Wayne Pkwy Ste 105, Maricopa, AZ 85139. The listed phone number is (520) 201-3937.

What is Desert Eyecare Center's specialty?

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

Is Desert Eyecare Center enrolled in Medicare?

Yes. Desert Eyecare Center is registered in the Medicare PECOS enrollment system.

When is Desert Eyecare Center's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Arizona, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Desert Eyecare Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Optometry, reassign their Medicare billing to Desert Eyecare Center. 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, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Desert Eyecare Center accept?

Health plans from Cigna HealthCare of Arizona, Inc list Desert Eyecare Center 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 Desert Eyecare Center was last updated on June 14, 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.