Organization Active NPI

Oro Valley Eyecare, PLLC

  • Optometrist
  • Oro Valley, AZ
National Provider Identifier
1154639664
Registry record updated Jun 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1535 Issued in AZ
Legal business name
ORO VALLEY EYECARE, PLLC
Practice address
760 E Pusch View LN Ste 100
Oro Valley, AZ 85737-9245
Phone
(520) 229-2010
Fax
(520) 229-2111
NPI assigned
Sep 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2021

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

Authorized official

Name
Dr. Robert Bruce Mitchell, O.D.NPI 1831257443
Title
President
Phone
(520) 229-2010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1535 AZ Primary

Addresses

Primary practice location

760 E Pusch View LN Ste 100
Oro Valley, AZ 85737-9245

Mailing address

760 E Pusch View LN Ste 100
Oro Valley, AZ 85737-9245
Phone (520) 229-2010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120809000506 AZ Part B Supplier - Clinic/Group Practice 1850547605 Receives reassigned benefits from 3 practitioners
Practice locations: Oro Valley, AZ

National Provider Directory

National Provider Directory

Locations

10515 N Oracle Rd
Ste 145
Tucson, AZ 85737
Phone (520) 229-2010

760 E Pusch View Ln
Ste 100
Tucson, AZ 85737
Phone (520) 229-2010

Practitioners & affiliated clinicians

Practitioners 3

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": "1284681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623888000000",
    "number": "1154639664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 E PUSCH VIEW LN STE 100",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857379245",
            "telephone_number": "520-229-2010",
            "fax_number": "520-229-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 E PUSCH VIEW LN STE 100",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857379245",
            "telephone_number": "520-229-2010",
            "fax_number": "520-229-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORO VALLEY EYECARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-17",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-229-2010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oro Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; 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.