ARIZONA GLAUCOMA SPECIALISTS - MESA PLLC
NPI 1912512633
Ophthalmology - Glaucoma Specialist in Mesa, AZ

Active since September 10, 2020
6402 E SUPERSTITION SPRINGS BLVD STE 104, MESA, AZ 85206(480) 396-9339(480) 699-9906 Get Directions Write a Review

NPPES record last updated: September 10, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Arizona Glaucoma Specialists - Mesa Pllc NPPES

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

ARIZONA GLAUCOMA SPECIALISTS - MESA PLLC (NPI 1912512633) is a healthcare organization registered as a glaucoma specialist in Mesa, Arizona and active in the NPI registry since September 2020. The organization lists Jeffrey Stuart Kay, President, as its authorized official.

NPPES Registry Identity

NPI1912512633
Entity TypeOrganization
Primary Taxonomy207WX0009X
Legal Business NameARIZONA GLAUCOMA SPECIALISTS - MESA PLLC
Location Address6402 E SUPERSTITION SPRINGS BLVD STE 104Mesa, AZ 85206-4391
Mailing Address6599 N Oracle RdTucson, AZ 85704-5614 · (520) 544-4393 · Fax (520) 544-0098
Fax(480) 699-9906
Organization SubpartNo
Authorized OfficialJeffrey Stuart KayPresident · (520) 904-0714
Enumeration DateSeptember 10, 2020
NPPES CertifiedSeptember 9, 2020
✔ NPI 1912512633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmology · Glaucoma SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0009X
Definition
An ophthalmologist who specializes in the treatment of glaucoma and other disorders related to increased intraocular pressure and optic nerve damage. This specialty involves the medical and surgical treatment of these conditions.
6402 E SUPERSTITION SPRINGS BLVD STE 104, Mesa, AZ 85206

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)

Arizona Glaucoma Specialists - Mesa Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 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 IDO20210121001137Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Arizona Glaucoma Specialists - Mesa PLLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Ophthalmology
NPI 1487067484
6402 E SUPERSTITION SPRINGS BLVD STE 104
Mesa, AZ 85206
(480) 396-9339
✔ PECOS✔ Accepts Medicare0.1 mi
Ophthalmology
NPI 1073601274
6599 N ORACLE RD
Tucson, AZ 85704
(520) 544-4393
✔ PECOS84 mi
Optometry
NPI 1770136798
6599 N ORACLE RD
Tucson, AZ 85704
(520) 544-4393
✔ PECOS✔ Accepts Medicare84 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 Arizona Glaucoma Specialists - Mesa PLLC's NPI number?

The NPI number for Arizona Glaucoma Specialists - Mesa PLLC is 1912512633. It was assigned to this organization in the NPPES registry on September 10, 2020.

Where is Arizona Glaucoma Specialists - Mesa PLLC located?

Arizona Glaucoma Specialists - Mesa PLLC is located at 6402 E Superstition Springs Blvd Ste 104, Mesa, AZ 85206. The listed phone number is (480) 396-9339.

What is Arizona Glaucoma Specialists - Mesa PLLC's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Glaucoma Specialist, with taxonomy code 207WX0009X.

Is Arizona Glaucoma Specialists - Mesa PLLC enrolled in Medicare?

Yes. Arizona Glaucoma Specialists - Mesa PLLC is registered in the Medicare PECOS enrollment system.

When is Arizona Glaucoma Specialists - Mesa 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 October 31, 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 Arizona Glaucoma Specialists - Mesa PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Arizona Glaucoma Specialists - Mesa PLLC, in Ophthalmology and Optometry. 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 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Arizona Glaucoma Specialists - Mesa PLLC accept?

Health plans from Ambetter Health and Ambetter from Arizona Complete Health list Arizona Glaucoma Specialists - Mesa 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 Arizona Glaucoma Specialists - Mesa PLLC was last updated on September 10, 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.