NPIMap

Organization Active NPI

Cornea Associates, PLLC

  • Ophthalmology Physician
  • Tucson, AZ
National Provider Identifier
1164516522
Registry record updated Nov 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
CORNEA ASSOCIATES, PLLC
Practice address
6422 E Speedway Blvd
Suite 100
Tucson, AZ 85710-1148
Phone
(520) 325-9400
Fax
(520) 325-8965
NPI assigned
Oct 3, 2006
Last updated
Nov 21, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2007

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

Authorized official

Name
Dr. Dean Clark Brick, M.D.NPI 1710071170
Title
Member/Owner
Phone
(520) 325-9400

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
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X AZ Primary

Addresses

Primary practice location

6422 E Speedway Blvd
Suite 100
Tucson, AZ 85710-1148

Mailing address

6422 E Speedway Blvd
Suite 100
Tucson, AZ 85710-1148
Phone (520) 325-9400

Other names 1

  • DEAN C. BRICK, MD, PC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040428000753 AZ Part B Supplier - Clinic/Group Practice 3375530611 Receives reassigned benefits from 7 practitioners
Practice locations: Tucson, AZ

National Provider Directory

National Provider Directory

Locations

6422 E Speedway Blvd
Tucson, AZ 85710

6422 E Speedway Blvd
Ste 100
Tucson, AZ 85710
Phone (520) 325-9400

Practitioners & affiliated clinicians

Practitioners 35

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195603200000",
    "number": "1164516522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6422 E SPEEDWAY BLVD",
            "address_2": "SUITE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857101148",
            "telephone_number": "520-325-9400",
            "fax_number": "520-325-8965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6422 E SPEEDWAY BLVD",
            "address_2": "SUITE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857101148",
            "telephone_number": "520-325-9400",
            "fax_number": "520-325-8965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNEA ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-11-21",
        "status": "A",
        "authorized_official_last_name": "BRICK",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "CLARK",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "520-325-9400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DEAN C. BRICK, MD, PC",
            "code": "4",
            "type": "Former Legal Business 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 Nov 21, 2007; 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.