Healthcare Provider Details

I. General information

NPI: 1639329386
Provider Name (Legal Business Name): ANTHEM EYE CARE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2008
Last Update Date: 03/18/2026
Certification Date: 03/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4205 W ANTHEM WAY STE 101
ANTHEM AZ
85086-0445
US

IV. Provider business mailing address

4205 W ANTHEM WAY STE 101
ANTHEM AZ
85086-0445
US

V. Phone/Fax

Practice location:
  • Phone: 623-879-3937
  • Fax: 623-551-2051
Mailing address:
  • Phone: 623-879-3937
  • Fax: 623-551-2051

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code152WP0200X
TaxonomyPediatric Optometrist
License Number
License Number State

VIII. Authorized Official

Name: LAWRENCE RICHARD STERN
Title or Position: OWNER
Credential: OD
Phone: 623-879-3937