FAMILY FIRST VISION CARE ARIZONA PLLC
NPI 1710417514
Optometrist in Phoenix, AZ
About Family First Vision Care Arizona Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FAMILY FIRST VISION CARE ARIZONA PLLC (NPI 1710417514) is a healthcare organization registered as an optometrist in Phoenix, Arizona and active in the NPI registry since June 2017. The organization maintains 9 additional practice locations and lists Nicole Jandernal, Credentialing Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 9
Group Practice 1
Accepted 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)
Family First Vision Care Arizona Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
36Medicare enrollment records show 36 clinicians reassign Medicare billing to Family First Vision Care Arizona PLLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Nearest to this location (20)
See all 36Source: 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 Family First Vision Care Arizona PLLC's NPI number?
The NPI number for Family First Vision Care Arizona PLLC is 1710417514. It was assigned to this organization in the NPPES registry on June 14, 2017.
Where is Family First Vision Care Arizona PLLC located?
Family First Vision Care Arizona PLLC is located at 21001 N Tatum Blvd Ste 18, Phoenix, AZ 85050. The listed phone number is (480) 513-4184.
What is Family First Vision Care Arizona PLLC's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Family First Vision Care Arizona PLLC enrolled in Medicare?
Yes. Family First Vision Care Arizona PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Family First Vision Care Arizona PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 36 clinicians, all in Optometry, reassign their Medicare billing to Family First Vision Care Arizona 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, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Family First Vision Care Arizona PLLC accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana and Blue Cross and Blue Shield of Montana and 5 other insurers list Family First Vision Care Arizona 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 Family First Vision Care Arizona PLLC was last updated on January 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Family First Vision Care Arizona Pllc · NPI 1710417514
Optometrist organization in Phoenix, Arizona. Organization record, active in the CMS NPPES registry since June 14, 2017.
## Identity
- **NPI:** 1710417514 (Entity type: Organization)
- **Enumerated:** June 14, 2017
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Nicole Jandernal, CREDENTIALING MANAGER
## Practice location
- **Address:** 21001 N TATUM BLVD STE 18, Phoenix, AZ 85050-4207
- **Phone:** (480) 513-4184 · **Fax:** (480) 513-4184
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 36 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 2 practice within 10 miles; [full list](https://npiprofile.com/npi/1710417514/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 31, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1710417514) · Data from the CMS NPPES public registry.