MEDICARE: EAST VALLEY GLAUCOMA INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	15705	AZ
2	207WX0009X	Glaucoma Specialist (Ophthalmology) Physician	15705	AZ

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	Z202876	OTHER	AZ	MEDICARE PIN

General Provider Information

NPI Number	:	1114465010
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EAST VALLEY GLAUCOMA INC

Provider Business Mailing Address
First Line	:	6402 E SUPERSTITION SPRINGS BLVD STE 209
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85206-4393
Country	:	US
Telephone Number	:	480-981-3317
Fax Number	:	480-981-5308

Provider Business Practice Location Address
First Line	:	6402 E SUPERSTITION SPRINGS BLVD STE 104
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85206-4391
Country	:	US
Telephone Number	:	480-981-3317
Fax Number	:	480-981-5308

Authorized Official
Title or Position	:	OWNER
Name	:	ROBERT C SPURNY
Credential	:	M.D.
Telephone Number	:	480-981-3317

Provider Enumeration Date	:	02/10/2017
Last Update Date	:	02/24/2021

Similar Medicare Providers

1134276256 — DR. DEBRA M PENTZ DC
Practice Location Address:

6402 E SUPERSTITION SPRINGS BLVD STE 123
MESA, AZ
85206-4391

Practice Phone: 480-833-0302
Practice Fax: 480-494-5770

1184762890 — PENTZ HEALTH SERVICES LLC
Practice Location Address:

6402 E SUPERSTITION SPRINGS BLVD STE 123
MESA, AZ
85206-4391

Practice Phone: 480-833-0302
Practice Fax: 480-494-5770

1689706608 — DR. MONA MORSTEIN N.D.
Practice Location Address:

6402 E SUPERSTITION SPRINGS BLVD STE 123
MESA, AZ
85206-4391

Practice Phone: 480-833-0302
Practice Fax: 480-494-5770

1487067484 — DR. DAVID KAY M.D.
Practice Location Address:

6402 E SUPERSTITION SPRINGS BLVD STE 104
MESA, AZ
85206-4391

Practice Phone: 480-396-9339
Practice Fax:

1881256204 — MS. LAUREN NICOLE LOFTIS
Practice Location Address:

6402 E SUPERSTITION SPRINGS BLVD STE 123
MESA, AZ
85206-4391

Practice Phone: 480-833-0302
Practice Fax: 480-494-5770

1912512633 — ARIZONA GLAUCOMA SPECIALISTS - MESA PLLC
Practice Location Address:

6402 E SUPERSTITION SPRINGS BLVD STE 104
MESA, AZ
85206-4391

Practice Phone: 480-396-9339
Practice Fax: 480-699-9906

Directions to “EAST VALLEY GLAUCOMA INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.