Active NPI
Raymond Joseph Sherban, OD
- Optometrist
- Tucson, AZ
National Provider Identifier
1104947720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 215
- Practice address
- 1650 West Valencia Road
Tucson, AZ 85746 - Phone
- (520) 573-0219
- Fax
- (520) 294-2686
- NPI assigned
- Apr 2, 2007
- Sex
- Male
- 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 | 215 | AZ | Primary |
Addresses
Primary practice location
1650 West Valencia Road
Tucson, AZ 85746
Mailing address
5216 North Paseo Arenal
Tucson, AZ 85750-1474
Phone (520) 573-0219
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 215 | AZ | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Visionworks, Inc | Past | Accepting new patients | |
| Visionworks Inc | Past | Accepting new patients | |
| Emergency Medical & Surgical Specialists of Colorado LLC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- NPI 1699571166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104947720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5216 NORTH PASEO ARENAL",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857501474",
"telephone_number": "520-573-0219",
"fax_number": "520-294-2686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 WEST VALENCIA ROAD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "85746",
"telephone_number": "520-573-0219",
"fax_number": "520-294-2686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERBAN",
"first_name": "RAYMOND",
"middle_name": "JOSEPH",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AZ",
"license": "215",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
- Irma Sheppard, MA LPC
- Jacqueline Sheppard, LPC-S, NCC, MSC
- Joseph E Sheppard, MD
- Ahmed Sher
- Phyllis K Sher, MD
- Sheridan Childrens Healthcare Services of Arizona, Inc.
- Sheridan Childrens Healthcare Services of Arizona, Inc.
- Sheridan Childrens Healthcare Services of Arizona, Inc.
- Sheridan Healthcare of Arizona Inc
- Marilyn Sheridan, LMT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.