Organization Active NPI

DM Exchannge Eye Care PLLC

  • Optometrist
  • Tucson, AZ
National Provider Identifier
1053124560
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DM EXCHANNGE EYE CARE PLLC
Practice address
5405 E Granite St BLDG 2527
Tucson, AZ 85707-3004
Phone
(520) 514-2029
NPI assigned
Jan 29, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Authorized official

Name
Tom Determan, OD
Title
Manager
Phone
(928) 580-6356

Specialties & licenses 1

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

Addresses

Primary practice location

5405 E Granite St BLDG 2527
Tucson, AZ 85707-3004

Mailing address

2750 S Pacific Ave Ste D
Yuma, AZ 85365-3547
Phone (928) 580-6356

National Provider Directory

National Provider Directory

Locations

2750 S Pacific Ave
Ste D
Yuma, AZ 85365
Phone (928) 580-6356

NPI Registry JSON

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

{
    "created_epoch": "1738108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738108800000",
    "number": "1053124560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 S PACIFIC AVE STE D",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853653547",
            "telephone_number": "928-580-6356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5405 E GRANITE ST BLDG 2527",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857073004",
            "telephone_number": "520-514-2029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DM EXCHANNGE EYE CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-29",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A",
        "authorized_official_last_name": "DETERMAN",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "928-580-6356",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; 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.