Organization Active NPI

Sun City West Eye Care PLLC

  • Optometrist
  • Sun City West, AZ
National Provider Identifier
1013016682
Registry record updated Dec 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1189 Issued in AZ
Legal business name
SUN CITY WEST EYE CARE PLLC
Practice address
13540 W Camino del Sol
Suite 17
Sun City West, AZ 85375-4434
Phone
(623) 544-3877
Fax
(623) 544-3834
NPI assigned
Sep 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2015

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

Authorized official

Name
Mrs. Linda Sue Siegel
Title
Practice Manager
Phone
(623) 544-3877

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1189 AZ Primary

Addresses

Primary practice location

13540 W Camino del Sol
Suite 17
Sun City West, AZ 85375-4434

Mailing address

13540 W.Camino del Sol
Suite 17
Sun City West, AZ 85375-4472
Phone (623) 544-3877

National Provider Directory

National Provider Directory

Locations

19235 N Cave Creek Rd
Ste 104
Phoenix, AZ 85024

13540 W Camino del Sol
Ste 17
Sun City West, AZ 85375
Phone (623) 544-3877

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450137600000",
    "number": "1013016682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13540 W.CAMINO DEL SOL",
            "address_2": "SUITE 17",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853754472",
            "telephone_number": "623-544-3877",
            "fax_number": "623-544-3834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13540 W CAMINO DEL SOL",
            "address_2": "SUITE 17",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853754434",
            "telephone_number": "623-544-3877",
            "fax_number": "623-544-3834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN CITY WEST EYE CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2015-12-15",
        "status": "A",
        "authorized_official_last_name": "SIEGEL",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "623-544-3877",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City West, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.