Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. ROBERT JACK MAYNARD O.D.
NPI 1962480764
Optometrist in Phoenix, AZ

Active since January 03, 2006PECOS Enrolled
114 W CAMELBACK RD, SUITE 1, PHOENIX, AZ 85013(602) 264-4104(602) 241-0687 Get Directions Write a Review

NPPES record last updated: July 12, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Robert Jack Maynard O.d. NPPES

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

DR. ROBERT JACK MAYNARD O.D. (NPI 1962480764) is an individual optometrist in Phoenix, Arizona, licensed in Arizona (145) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962480764
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. ROBERT JACK MAYNARDCredential: O.D.
Location Address114 W CAMELBACK RD, SUITE 1Phoenix, AZ 85013-2563
Mailing Address114 W Camelback Rd, Suite 1Phoenix, AZ 85013-2563 · (602) 264-4104 · Fax (602) 241-0687
Fax(602) 241-0687
Sole ProprietorYes
Enumeration DateJanuary 3, 2006
Last NPPES UpdateJuly 12, 2026
NPI 1962480764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in AZ · 145
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
114 W CAMELBACK RD, Phoenix, AZ 85013

Other Identifiers 2

OtherAZ0170990AZ · Blue Cross Blue Shield Id
Other860292404AZ · Tax Id

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Robert Jack Maynard O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85013 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

Optometrist (Corneal and Contact Management)
114 W CAMELBACK RD
PHOENIX, AZ 85013
Optometrist
114 W CAMELBACK RD, SUITE 1
PHOENIX, AZ 85013
Optometrist
114 W CAMELBACK RD
PHOENIX, AZ 85013

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 Robert Maynard's NPI number?

The NPI number for Robert Maynard is 1962480764. It was assigned to this individual provider in the NPPES registry on January 3, 2006.

Where is Robert Maynard located?

Robert Maynard practices at 114 W Camelback Rd Suite 1, Phoenix, AZ 85013. The listed phone number is (602) 264-4104.

What is Robert Maynard's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Robert Maynard enrolled in Medicare?

Yes. Robert Maynard is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Robert Maynard was last updated on July 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 36 days 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.