NPIMap

Organization Active NPI

DHHS-PHS, IHS Tucson Area, IHS Tucson San Xavier Clinic

  • Optometric Assistant Technician
  • Tucson, AZ
National Provider Identifier
1124081187
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Optometric Assistant TechnicianTaxonomy code 156FX1201X
Legal business name
DHHS-PHS, IHS TUCSON AREA, IHS TUCSON SAN XAVIER CLINIC
Practice address
7900 S J Stock Rd
Tucson, AZ 85746-7012
Phone
(520) 295-2427
Fax
(520) 295-2611
NPI assigned
Apr 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Kurt Priessman, B.A., M.B.A., C.P.M
Title
Accounting and Budget Officer
Phone
(520) 295-2427

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
Optometric Assistant TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 156FX1201X Primary
Optometric TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 156FX1202X

Addresses

Primary practice location

7900 S J Stock Rd
Tucson, AZ 85746-7012

Mailing address

7900 S J Stock Rd
Tucson, AZ 85746-7012
Phone (520) 295-2427

Other identifiers 4

IdentifierTypeStateIssuer
1437157302OtherAZFACILITY NPI #
AZ0209620OtherAZBC/BS OF AZ PROV #
147133-03MedicaidAZ
706921-01MedicaidAZ

Other names 1

  • SAN XAVIER CLINIC Other name

National Provider Directory

National Provider Directory
Tax ID family
DHHS-PHS IHS Tucson Area IHS Tucson San Xavier Clinic12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1124081187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 S J STOCK RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857467012",
            "telephone_number": "520-295-2427",
            "fax_number": "520-295-2611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 S J STOCK RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857467012",
            "telephone_number": "520-295-2427",
            "fax_number": "520-295-2611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DHHS-PHS, IHS TUCSON AREA, IHS TUCSON SAN XAVIER CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-10",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "PRIESSMAN",
        "authorized_official_first_name": "KURT",
        "authorized_official_title_or_position": "ACCOUNTING AND BUDGET OFFICER",
        "authorized_official_telephone_number": "520-295-2427",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "B.A., M.B.A., C.P.M"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "156FX1201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optometric Assistant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "156FX1202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optometric Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY NPI #",
            "identifier": "1437157302",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF AZ PROV #",
            "identifier": "AZ0209620",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "147133-03",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "706921-01",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAN XAVIER CLINIC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Sep 11, 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.