Organization Active NPI

Envision Eyecare LLC

  • Corneal and Contact Management Optometrist
  • Phoenix, AZ
National Provider Identifier
1043079783
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
Legal business name
ENVISION EYECARE LLC
Practice address
12605 N Tatum Blvd # A111
Phoenix, AZ 85032-7710
Phone
(602) 494-7333
Fax
(480) 701-8050
NPI assigned
Mar 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Authorized official

Name
Dr. Yamile Romaguera, OD
Title
Provider / Sole Member
Phone
(602) 494-7336

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X Primary

Addresses

Primary practice location

12605 N Tatum Blvd # A111
Phoenix, AZ 85032-7710

Mailing address

12605 N Tatum Blvd # A111
Phoenix, AZ 85032-7710
Phone (602) 494-7336

Other names 2

  • Dr. Yamile Romaguera Other name
  • Dr. Yamile Villar-Romaguera Other name

National Provider Directory

National Provider Directory

Locations

12605 N Tatum Blvd
#A111
Phoenix, AZ 85032
Phone (602) 494-7333

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1710460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710460800000",
    "number": "1043079783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12605 N TATUM BLVD # A111",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850327710",
            "telephone_number": "602-494-7336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12605 N TATUM BLVD # A111",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850327710",
            "telephone_number": "602-494-7333",
            "fax_number": "480-701-8050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISION EYECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-15",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A",
        "authorized_official_last_name": "ROMAGUERA",
        "authorized_official_first_name": "YAMILE",
        "authorized_official_title_or_position": "PROVIDER / SOLE MEMBER",
        "authorized_official_telephone_number": "602-494-7336",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Yamile Romaguera",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Dr. Yamile Villar-Romaguera",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; 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.