Phoenix Oculoplastic Consultants, PLLC
Plastic Surgery, Plastic Surgery Within the Head and Neck in Phoenix, AZ. Organization (NPI-2).
NPI number1497009641
StatusActive
Last updated in NPPESNov 8, 2012
Details
- NPI
- 1497009641
- Entity type
- Organization (NPI-2)
- Legal business name
- Phoenix Oculoplastic Consultants, PLLC
- Organization subpart
- No
- Enumeration date
- Nov 8, 2012
- Last updated
- Nov 8, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2082S0099X | Plastic Surgery, Plastic Surgery Within the Head and Neck | 33016 | AZ | Yes |
| 207W00000X | Ophthalmology | 33016 | AZ |
Practice location
3410 N 4th AvePhoenix, AZ 85013-3905
Phone 602-257-1499 · Fax 480-361-3517
Mailing address
4340 E Indian School RdSuite 21-440
Phoenix, AZ 85018-5360
Phone 602-257-1498 · Fax 480-361-3517
Authorized official
Misha Faustina
Manager
6022571498
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