Sedona Eye Care PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

262 Issued in AZ

Legal business name

SEDONA EYE CARE PC

Practice address

95 Soldiers Pass Road
Ste A1
Sedona, AZ 86336-4781

Phone

(928) 282-4126

Fax

(928) 282-5762

NPI assigned

Jun 1, 2006

Last updated

May 21, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Serge W Wright, ODNPI 1447452495

Title

Owner President

Phone

(928) 282-4126

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Wright Christensen Drs Former legal business name

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Practitioners 2

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.

• Serge W Wright, O.D.

  • Optometrist
  • Sedona, AZ
  • NPI 1447452495
  Medicare reassignment Care Compare group Authorized official
• Kendra Ivy, OD

  • Optometrist
  • Sedona, AZ
  • NPI 1720574619
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1114964939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 SOLDIERS PASS ROAD",
            "address_2": "STE A1",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863364781",
            "telephone_number": "928-282-4126",
            "fax_number": "928-282-5762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 SOLDIERS PASS ROAD",
            "address_2": "STE A1",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863364781",
            "telephone_number": "928-282-4126",
            "fax_number": "928-282-5762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEDONA EYE CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "SERGE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "928-282-4126",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AZ0171820",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wright Christensen Drs",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Sedona Core Counseling
• Sedona Dental Arts, LLC
• Sedona Dentistry
• Sedona Diagnostic Ultrasound LLC (Sedona Diagnostic Ultrasound)
• Sedona Endodontics, LTD
• Sedona Family Counseling
• Sedona Family Health PLLC
• Sedona Family Health, PLLC
• Sedona Fire District
• Sedona Grocery, LLC (Clark's Market Pharmacy)

• Optometrist in Sedona, AZ
• Providers in Sedona, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.