Tyrone John Favis II, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT001951 Issued in AZ

Practice address

2500 E Van Buren St
Phoenix, AZ 85008-6037

Phone

(602) 559-4606

NPI assigned

Jan 28, 2011

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2013

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• John H McDougall OD Arizona PC

  • Optometrist
  • Fountain Hills, AZ
  • NPI 1851882179
  Medicare reassignment NPD (past)
• 2020 Image Tempe

  • Optometrist
  • Tempe, AZ
  • NPI 1629188479
  NPD (past)
• America'S Best Contacts & Eyeglasses

  • Optician
  • Tucson, AZ
  • NPI 1316287857
  NPD (past)
• Oasis Vision Center, P.C.

  • Optometrist
  • Gilbert, AZ
  • NPI 1275628919
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1296172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1003112798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4333 E BROOKWOOD CT",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850488816",
            "telephone_number": "407-625-1930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 E VAN BUREN ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850086037",
            "telephone_number": "602-559-4606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAVIS",
        "first_name": "TYRONE",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-28",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT001951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Favaro
• Susan C Favaro, LCSW
• Carisa Favela, LPC
• Raul Favela, DDS
• Cayla Nicole Faverio, PT
• Favor and Grace Under Fire LLC
• Favorable House of Doves
• Favored Medical
• Favour Enterprises L.L.C
• Rhenita Fawagan, BSN-RN, MSN-AGACNP

• Optometrist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.