Healthcare Provider Details

I. General information

NPI: 1952372955
Provider Name (Legal Business Name): ANTHONY SALVATORE NAPPI OD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/28/2006
Last Update Date: 05/21/2020
Certification Date: 05/21/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7435 E MAIN ST STE 101
MESA AZ
85207-8337
US

IV. Provider business mailing address

4800 N 22ND ST STE 210
PHOENIX AZ
85016-4963
US

V. Phone/Fax

Practice location:
  • Phone: 480-892-8400
  • Fax: 602-508-4830
Mailing address:
  • Phone: 480-892-8400
  • Fax: 602-508-4830

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOPT-001002
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberNY5327
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: