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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: August 16, 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
Phone(928) 778-3950
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
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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

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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 12

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

CONNOR YOUNG
Optometrist
3192 WILLOW CREEK RD
PRESCOTT, AZ 86301
Yavapai County (928) 445-1234
DEREK JEANES
Optometrist
3192 WILLOW CREEK RD
PRESCOTT, AZ 86301
Yavapai County (928) 445-1234
PRESCOTT EYE CARE & SURGICAL CENTER PC
Clinic/Center (Ophthalmologic Surgery)
3192 WILLOW CREEK RD
PRESCOTT, AZ 86301
Yavapai County (928) 778-3950
M&M EYE INSTITUTE PLC
Ophthalmology
3192 WILLOW CREEK RD
PRESCOTT, AZ 86301
Yavapai County (928) 778-3950
DR. TYLER KEVIN OAKESON OD
Optometrist
3192 WILLOW CREEK RD
PRESCOTT, AZ 86301
Yavapai County (928) 445-1234
SOUTHWESTERN EYE CENTER, LTD
Durable Medical Equipment & Medical Supplies
3192 WILLOW CREEK RD
PRESCOTT, AZ 86301
Yavapai County (928) 445-1234
BRETT JAMES CHRISTENSEN OD
Optometrist
3192 WILLOW CREEK RD
PRESCOTT, AZ 86301
Yavapai County (928) 445-1234
AMY H CHAMP OD
Optometrist
3192 WILLOW CREEK RD
PRESCOTT, AZ 86301
Yavapai County (928) 778-3950

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 Arizona Institute Of Eye Surgery LLC's NPI number?

The NPI number for Arizona Institute Of Eye Surgery LLC is 1487845764. It was assigned to this organization in the NPPES registry on August 5, 2007. The provider is doing business as Prescott Vision & Eye Surgery Center.

Where is Arizona Institute Of Eye Surgery LLC located?

Arizona Institute Of Eye Surgery LLC is located at 3192 Willow Creek Rd, Prescott, AZ 86301. The listed phone number is (928) 778-3950.

What is Arizona Institute Of Eye Surgery LLC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Does Arizona Institute Of Eye Surgery LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D0932194) is associated with this NPI, valid through August 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Arizona Institute Of Eye Surgery LLC accept?

Health plans from UnitedHealthcare list Arizona Institute Of Eye Surgery 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 Arizona Institute Of Eye Surgery LLC was last updated on January 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.