Individual provider Active NPI

Adam McDonald, O.D.

  • Optometrist
  • Tucson, AZ
National Provider Identifier
1003299538
Registry record updated Jul 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2059 Issued in AZ
Practice address
525 W Wetmore Rd
Tucson, AZ 85705-5093
Phone
(520) 293-2363
NPI assigned
Jul 1, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2059 AZ Primary

Addresses

Primary practice location

525 W Wetmore Rd
Tucson, AZ 85705-5093

Mailing address

525 W Wetmore Rd
Tucson, AZ 85705-5093
Phone (520) 293-2363

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150803002657 AZ Practitioner - Optometry 9234443342 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

525 W Wetmore Rd
Tucson, AZ 85705-5093
Phone (520) 293-2363

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2059AZMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Envision Eyecare Center PC Optometrist Current Accepting new patients
Envision Eyecare Center Optometrist CurrentSince Nov 28, 2020 Accepting new patients

Locations

525 W Wetmore Rd
Tucson, AZ 85705
Phone (520) 293-2363

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1003299538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 W WETMORE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857055093",
            "telephone_number": "520-293-2363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 W WETMORE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857055093",
            "telephone_number": "520-293-2363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "ADAM",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-01",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "2059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.