SALT RIVER EYE CARE, PLLC
NPI 1649524729
Optometrist in Scottsdale, AZ
About Salt River Eye Care, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SALT RIVER EYE CARE, PLLC (NPI 1649524729) is a healthcare organization registered as an optometrist in Scottsdale, Arizona and active in the NPI registry since October 2012. The organization lists Andrea Lynn Mcmullen, Admin, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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)
Salt River Eye Care, Pllc 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.
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Salt River Eye Care, PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Scottsdale, AZ 85258
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 Salt River Eye Care, PLLC's NPI number?
The NPI number for Salt River Eye Care, PLLC is 1649524729. It was assigned to this organization in the NPPES registry on October 29, 2012.
Where is Salt River Eye Care, PLLC located?
Salt River Eye Care, PLLC is located at 9015 E Pima Center Pkwy Ste 1, Scottsdale, AZ 85258. The listed phone number is (480) 278-7732.
What is Salt River Eye Care, PLLC's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Salt River Eye Care, PLLC enrolled in Medicare?
Yes. Salt River Eye Care, PLLC is registered in the Medicare PECOS enrollment system.
When is Salt River Eye Care, PLLC'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 Salt River Eye Care, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Optometry, reassign their Medicare billing to Salt River Eye Care, PLLC. 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 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Salt River Eye Care, PLLC accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 3 other insurers list Salt River Eye Care, PLLC 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 Salt River Eye Care, PLLC was last updated on May 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Salt River Eye Care, Pllc · NPI 1649524729
Optometrist organization in Scottsdale, Arizona. Organization record, active in the CMS NPPES registry since October 29, 2012.
## Identity
- **NPI:** 1649524729 (Entity type: Organization)
- **Enumerated:** October 29, 2012
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Andrea Mcmullen, ADMIN
## Practice location
- **Address:** 9015 E PIMA CENTER PKWY STE 1, Scottsdale, AZ 85258-4615
- **Phone:** (480) 278-7732 · **Fax:** (480) 302-8703
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Arizona, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 3 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 8, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1649524729) · Data from the CMS NPPES public registry.