Prescott Valley Eye Care PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

909 Issued in AZ

Legal business name

PRESCOTT VALLEY EYE CARE PC

Practice address

3153 N Windsong Dr
Prescott Valley, AZ 86314-2240

Phone

(928) 771-9939

Fax

(928) 772-3972

NPI assigned

Apr 26, 2007

Last updated

Mar 30, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brian John Courtright, ODNPI 1861471914

Title

Optometrist President

Phone

(928) 771-9939

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brian John Courtright, O.D.

  • Optometrist
  • Prescott Valley, AZ
  • NPI 1861471914
  Medicare reassignment Care Compare group NPD Authorized official
• Sheila Michelle Willems, O.D.

  • Optometrist
  • Prescott, AZ
  • NPI 1285738617
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238371200000",
    "number": "1023238458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3153 N WINDSONG DR",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863142240",
            "telephone_number": "928-771-9939",
            "fax_number": "928-772-3972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3153 N WINDSONG DR",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863142240",
            "telephone_number": "928-771-9939",
            "fax_number": "928-772-3972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESCOTT VALLEY EYE CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2009-03-30",
        "status": "A",
        "authorized_official_last_name": "COURTRIGHT",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OPTOMETRIST PRESIDENT",
        "authorized_official_telephone_number": "928-771-9939",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AZ",
            "identifier": "AZ0903430",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Prescott Valley Charter School
• Prescott Valley Chiropractic LLC (Prescott Valley Chiropractic)
• Prescott Valley Dental Group, LLP (Prescott Valley Dental Group)
• Prescott Valley Disc and Spine Center
• Prescott Valley Endodontic Associates, PLLC
• Prescott Valley Nursing & Rehabilitation LLC
• Prescott Valley Optical, PLLC
• Prescott Valley Orthopaedics
• Prescott Valley PDC PLLC (Horizon Dental)
• Presscott Pain Center LLC

• Optometrist in Prescott Valley, AZ
• Providers in Prescott Valley, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.