NPIMap

Organization Active NPI

University Optometry, PLLC

Doing business as AZ Vision-Tucson Optometry

  • Optometrist
  • Tucson, AZ
National Provider Identifier
1083125850
Registry record updated Mar 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1643 Issued in AZ
Legal business name
UNIVERSITY OPTOMETRY, PLLC
Doing business as
AZ Vision-Tucson Optometry
Practice address
1700 E Fort Lowell Rd Ste 103
Tucson, AZ 85719-2395
Phone
(520) 325-8700
Fax
(520) 462-8730
NPI assigned
Oct 19, 2017
Last updated
Mar 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2022

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

Authorized official

Name
Dr. Jacob W Hiscox, ODNPI 1811140643
Title
Owner
Phone
(520) 325-8700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1643 AZ Primary

Addresses

Primary practice location

1700 E Fort Lowell Rd Ste 103
Tucson, AZ 85719-2395

Mailing address

1700 E Fort Lowell Rd Ste 103
Tucson, AZ 85719-2395
Phone (520) 325-8700

Other identifiers 1

IdentifierTypeStateIssuer
Z141361MedicaidAZ

Other names 1

  • AZ Vision-Tucson Optometry Doing business as

National Provider Directory

National Provider Directory

Locations

1060 N Campbell Ave
Tucson, AZ 85719
Phone (520) 325-8700

1700 E Fort Lowell Rd
Ste 103
Tucson, AZ 85719
Phone (520) 325-8700

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1508371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646956800000",
    "number": "1083125850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 E FORT LOWELL RD STE 103",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857192395",
            "telephone_number": "520-325-8700",
            "fax_number": "520-462-8730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 E FORT LOWELL RD STE 103",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857192395",
            "telephone_number": "520-325-8700",
            "fax_number": "520-462-8730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OPTOMETRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-19",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A",
        "authorized_official_last_name": "HISCOX",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-325-8700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z141361",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AZ Vision-Tucson Optometry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AZ Vision-Tucson Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 11, 2022; 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.