Desert Family Vision Center LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

DESERT FAMILY VISION CENTER LLC

Practice address

620 S Central Ave
Safford, AZ 85546-2692

Phone

(928) 428-0500

NPI assigned

Mar 15, 2007

Organization subpart

No

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

Authorized official

Name

Charles FerrinNPI 1629128525

Title

Manager

Phone

(928) 428-0500

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles Elliott Ferrin, OD

  • Optometrist
  • Safford, AZ
  • NPI 1629128525
  Medicare reassignment Care Compare group NPD Authorized official
• Vincent Duane Van Houten, O.D.

  • Optometrist
  • Safford, AZ
  • NPI 1215077177
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651449600000",
    "number": "1144354515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 S CENTRAL AVE",
            "city": "SAFFORD",
            "state": "AZ",
            "postal_code": "855462692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 S CENTRAL AVE",
            "city": "SAFFORD",
            "state": "AZ",
            "postal_code": "855462692",
            "telephone_number": "928-428-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT FAMILY VISION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A",
        "authorized_official_last_name": "FERRIN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "928-428-0500"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; 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.