Active NPI
Jill Caporelli, OD
- Optometrist
- Yuma, AZ
National Provider Identifier
1104897933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OD818
- Practice address
- 2340 W 24TH St
Adobe Eyecare Center PLLC
Yuma, AZ 85364-6231 - Phone
- (928) 329-9685
- Fax
- (928) 329-9678
- NPI assigned
- Jan 30, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OD818 | AZ | Primary |
Addresses
Primary practice location
2340 W 24TH St
Adobe Eyecare Center PLLC
Yuma, AZ 85364-6231
Mailing address
2340 W 24TH St
Ste a
Yuma, AZ 85364-6239
Phone (928) 246-2438
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OD818 | AZ | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636243200000",
"number": "1104897933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2340 W 24TH ST",
"address_2": "STE A",
"city": "YUMA",
"state": "AZ",
"postal_code": "853646239",
"telephone_number": "928-246-2438",
"fax_number": "928-329-9678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2340 W 24TH ST",
"address_2": "ADOBE EYECARE CENTER PLLC",
"city": "YUMA",
"state": "AZ",
"postal_code": "853646231",
"telephone_number": "928-329-9685",
"fax_number": "928-329-9678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAPORELLI",
"first_name": "JILL",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-30",
"last_updated": "2021-11-07",
"certification_date": "2021-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AZ",
"license": "OD818",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yuma, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.