EAST VALLEY GLAUCOMA INC
EAST VALLEY GLAUCOMA INC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1114465010, based in Mesa, AZ. The organization lists 2 taxonomy classifications, with Glaucoma Specialist (Ophthalmology) Physician recorded as primary.
Getting there
The practice address on file is 6402 E SUPERSTITION SPRINGS BLVD STE 104, Mesa, AZ 85206. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 15705 | AZ | Glaucoma Specialist (Ophthalmology)… primary |
| 15705 | AZ | Specialist |
This provider holds licence 15705 issued in AZ. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 1254600984
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Glaucoma Specialist covers
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. NUCC Health Care Provider Taxonomy, code 207WX0009X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207WX0009X | Glaucoma Specialist (Ophthalmology) Physician Glaucoma Specialist | 15705 | AZ | primary |
| 174400000X | Specialist | 15705 | AZ |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1114465010 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Feb 10, 2017 |
| Last updated | Feb 24, 2021 |
| Status | Active |
| Practice address |
6402 E SUPERSTITION SPRINGS BLVD STE 104 Mesa, AZ 85206 (480) 981-3317 Fax (480) 981-5308 |
| Mailing address |
6402 E SUPERSTITION SPRINGS BLVD STE 209 Mesa, AZ 85206 |
| Other identifiers |
Z202876
· MEDICARE PIN (AZ) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 1 | 1 | 4 | 4 | 6 | 5 | 0 | 1 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 2 | 4 | 8 | 6 | 1 | 0 | 2 |
Sum = 50 · next multiple of 10 = 50 · check digit = 0 · actual last digit = 0
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.