Active Eyecare LLC
NPI 1295100204 · Clinic/Center · Surprise, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Active Eyecare LLC is a Clinic/Center organization in Surprise, AZ (NPI 1295100204).
Provider details
- NPI number
- 1295100204
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mark Fechtel, Owner(623) 214-0353
- License
- 1117 (AZ)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
Other names (DBA / former)
- Doing business as
- Active Eyecare of Surprise
Registry dates
- Enumerated
- 2015-12-02
- Last updated
- 2015-12-02
Frequently asked questions
- What is Active Eyecare LLC's NPI number?
- Active Eyecare LLC's National Provider Identifier (NPI) is 1295100204, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Active Eyecare LLC?
- Active Eyecare LLC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Active Eyecare LLC located?
- Active Eyecare LLC's practice location on file with NPPES is 16968 W Bell Rd, Surprise, AZ 85374-8943.
- What is Active Eyecare LLC's phone number?
- The practice phone number listed in the NPPES registry for Active Eyecare LLC is (623) 214-0353.
- Does Active Eyecare LLC accept Medicare?
- Active Eyecare 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 Active Eyecare LLC?
- The authorized official listed on Active Eyecare LLC's NPPES record is Mark Fechtel, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Active Eyecare LLC's NPI active?
- Yes — Active Eyecare LLC's NPI (1295100204) is active in the NPPES registry as of the last update on 2015-12-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.