Organization Active NPI

Envision Eyecare Center PC

  • Optometrist
  • Tucson, AZ
National Provider Identifier
1154461747
Registry record updated Dec 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
AZ-013 Issued in AZ
Legal business name
ENVISION EYECARE CENTER PC
Practice address
525 W Wetmore Rd Ste 101
Tucson, AZ 85705-5094
Phone
(520) 293-2363
Fax
(520) 293-0475
NPI assigned
Feb 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2007

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

Authorized official

Name
Dr. Patrick J Barry, O.D.
Title
Owner, Ceo
Phone
(520) 293-2363

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X AZ-013 AZ Primary

Addresses

Primary practice location

525 W Wetmore Rd Ste 101
Tucson, AZ 85705-5094

Mailing address

525 W Wetmore Rd Ste 101
Tucson, AZ 85705-5094
Phone (520) 293-2363

Other identifiers 2

IdentifierTypeStateIssuer
867480MedicaidAZ
5801810001OtherAZDMEPOS-SUPPLIER NO.

National Provider Directory

National Provider Directory

Locations

525 W Wetmore Rd
Ste 101
Tucson, AZ 85705
Phone (520) 293-2363

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1154461747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 W WETMORE RD STE 101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857055094",
            "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 STE 101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857055094",
            "telephone_number": "520-293-2363",
            "fax_number": "520-293-0475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISION EYECARE CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "BARRY",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER, CEO",
        "authorized_official_telephone_number": "520-293-2363",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "AZ-013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "867480",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMEPOS-SUPPLIER NO.",
            "identifier": "5801810001",
            "state": "AZ"
        }
    ],
    "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 Dec 13, 2007; 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.