PRESCOTT VISION & EYE SURGERY CENTER
NPI 1487845764
Ophthalmology in Prescott, AZ

Active since August 05, 2007CLIA 03D0932194 · Waiver
3192 WILLOW CREEK RD, PRESCOTT, AZ 86301(928) 778-3950(928) 778-3999 Get Directions Write a Review

NPPES record last updated: January 16, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Prescott Vision & Eye Surgery Center NPPES

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

PRESCOTT VISION & EYE SURGERY CENTER (NPI 1487845764) is a healthcare organization registered as an ophthalmology in Prescott, Arizona and active in the NPI registry since August 2007. The organization holds a CLIA Waiver certificate valid through August 13, 2027 and lists Arthur D Brookfield, Cfo, as its authorized official.

NPPES Registry Identity

NPI1487845764
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameARIZONA INSTITUTE OF EYE SURGERY LLC
Location Address3192 WILLOW CREEK RDPrescott, AZ 86301-6610
Mailing Address63 S Rockford Dr Ste 220Tempe, AZ 85288-6226 · (602) 598-7488 · Fax (602) 231-6215
Fax(928) 778-3999
Organization SubpartNo
Authorized OfficialArthur D BrookfieldCfo · (602) 598-7488
Enumeration DateAugust 5, 2007
Last NPPES UpdateJanuary 16, 2024
NPPES CertifiedJanuary 16, 2024
NPI 1487845764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Also ListedClinic/Center · Ophthalmologic SurgeryTaxonomy 261QS0132X · License OSC4258 (AZ)
3192 WILLOW CREEK RD, Prescott, AZ 86301

Other Names 1

Doing Business AsPrescott Vision & Eye Surgery Center

Other Identifiers 11

Other4498AZ · Physician Medical License
Medicaid190721AZ
Other572818Ran & Amn
Other03-C0001215AZ · Medicare Ccn
Other3421045Cigna
Other7442967Aetna
Medicaid280244AZ
OtherDM2NNPArizona Foundation
Other033176-001Mercycare
Other2Z6546Healthnet
Other866291-9714Humana

Accepted 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 03D0932194

Arizona Institute Of Eye Surgery, LLC · Prescott, AZ
Active · expires Aug 13, 2027
CLIA Number03D0932194
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateAugust 14, 2025
Certificate Expiration DateAugust 13, 2027
Laboratory DirectorTracy Divelbiss
Laboratory Phone(602) 598-7025
Laboratory LocationArizona Institute Of Eye Surgery, LLC3192 Willow Creek Rd, Prescott, AZ 86301
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 13

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

Ophthalmology
3192 WILLOW CREEK RD
PRESCOTT, AZ 86301
Optometrist
3192 WILLOW CREEK RD
PRESCOTT, AZ 86301
Ophthalmology
3192 WILLOW CREEK RD
PRESCOTT, AZ 86301
Clinic/Center (Ophthalmologic Surgery)
3192 WILLOW CREEK RD
PRESCOTT, AZ 86301
Optometrist
3192 WILLOW CREEK RD
PRESCOTT, AZ 86301
Neurological Surgery
3192 WILLOW CREEK RD
PRESCOTT, AZ 86301
Optometrist
3192 WILLOW CREEK RD
PRESCOTT, AZ 86301
Optometrist
3192 WILLOW CREEK RD
PRESCOTT, AZ 86301

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487845764, enumerated as an "organization" on August 05, 2007.

The provider is located at 3192 WILLOW CREEK RD PRESCOTT, AZ 86301 and the phone number is (928) 778-3950.

Ophthalmology with taxonomy code 207W00000X.

The provider might be accepting Accepts: UnitedHealthcare, Medicare, Medicaid, Cigna, Aetna. Please consult your insurance carrier or call the provider to verify.