NPIMap

Organization Active NPI

Sonoran Desert Optometric Management PC

  • Optometrist
  • Tucson, AZ
National Provider Identifier
1134639537
Registry record updated Oct 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
SONORAN DESERT OPTOMETRIC MANAGEMENT PC
Practice address
525 W Wetmore Rd
Tucson, AZ 85705-5093
Phone
(520) 293-2363
Fax
(520) 293-0475
NPI assigned
Oct 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2017

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

Authorized official

Name
Jason A Prescott, OWNER/OD
Title
Owner/OD
Phone
(520) 293-2363

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

525 W Wetmore Rd
Tucson, AZ 85705-5093

Mailing address

525 W Wetmore Rd
Tucson, AZ 85705-5093
Phone (520) 293-2363

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1507680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507680000000",
    "number": "1134639537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 W WETMORE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857055093",
            "telephone_number": "520-293-2363",
            "fax_number": "520-293-0475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 W WETMORE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857055093",
            "telephone_number": "520-293-2363",
            "fax_number": "520-293-0475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONORAN DESERT OPTOMETRIC MANAGEMENT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-11",
        "last_updated": "2017-10-11",
        "status": "A",
        "authorized_official_last_name": "PRESCOTT",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/OD",
        "authorized_official_telephone_number": "520-293-2363",
        "authorized_official_credential": "OWNER/OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 11, 2017; 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.