Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Samuel Madrid, PA

Individual provider Optician · NPI 1407418932

Samuel Madrid, PA is an Optician in Scottsdale, Arizona. Licensed in Arizona. Registered with an NPI since 2019.

Licensed in
AZ
In the registry since
2019
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

13400 E Shea Blvd
Scottsdale, AZ 85259-5499
Phone: (480) 301-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9982 (AZ)
Optician Taxonomy 156FX1800X

Record details

NPI number1407418932
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 4, 2019
Last updated in NPPESOctober 18, 2024
Certification dateOctober 18, 2024
Mailing address13400 E Shea Blvd, Scottsdale, AZ 85259-5499

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