Arizona Glaucoma Specialists - North Phoenix, LLC
NPI 1245659531 · Ophthalmology Physician · Phoenix, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Arizona Glaucoma Specialists - North Phoenix, LLC is a Ophthalmology Physician organization in Phoenix, AZ (NPI 1245659531).
Provider details
- NPI number
- 1245659531
- Entity type
- Organization
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Max Kim, President(480) 538-7075
- License
- 35715 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-04-15
- Last updated
- 2014-09-29
Frequently asked questions
- What is Arizona Glaucoma Specialists - North Phoenix, LLC's NPI number?
- Arizona Glaucoma Specialists - North Phoenix, LLC's National Provider Identifier (NPI) is 1245659531, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Arizona Glaucoma Specialists - North Phoenix, LLC?
- Arizona Glaucoma Specialists - North Phoenix, LLC is classified in the NPPES registry as Ophthalmology Physician (Allopathic & Osteopathic Physicians).
- Where is Arizona Glaucoma Specialists - North Phoenix, LLC located?
- Arizona Glaucoma Specialists - North Phoenix, LLC's practice location on file with NPPES is 20940 N Tatum Blvd, Phoenix, AZ 85050-7246.
- What is Arizona Glaucoma Specialists - North Phoenix, LLC's phone number?
- The practice phone number listed in the NPPES registry for Arizona Glaucoma Specialists - North Phoenix, LLC is (480) 538-7075.
- Does Arizona Glaucoma Specialists - North Phoenix, LLC accept Medicare?
- Arizona Glaucoma Specialists - North Phoenix, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Arizona Glaucoma Specialists - North Phoenix, LLC?
- The authorized official listed on Arizona Glaucoma Specialists - North Phoenix, LLC's NPPES record is Max Kim, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Arizona Glaucoma Specialists - North Phoenix, LLC's NPI active?
- Yes — Arizona Glaucoma Specialists - North Phoenix, LLC's NPI (1245659531) is active in the NPPES registry as of the last update on 2014-09-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.