Organization Active NPI

Tucson Eye Physicians PLLC

  • Ophthalmology Physician
  • Tucson, AZ
National Provider Identifier
1164542734
Registry record updated Sep 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
14439 Issued in AZ
Legal business name
TUCSON EYE PHYSICIANS PLLC
Practice address
1745 E Skyline Dr
Suite 175
Tucson, AZ 85718-1162
Phone
(520) 742-1900
Fax
(520) 742-1170
NPI assigned
Mar 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2011

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

Authorized official

Name
Peter H Kaufer, MDNPI 1912085002
Title
Managing Member
Phone
(520) 742-1900

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 14439 AZ Primary

Addresses

Primary practice location

1745 E Skyline Dr
Suite 175
Tucson, AZ 85718-1162

Mailing address

1745 E Skyline Drive
Suite 175
Tucson, AZ 85718-1162
Phone (520) 742-1900

Other identifiers 1

IdentifierTypeStateIssuer
564402MedicaidAZ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040716000970 AZ Part B Supplier - Clinic/Group Practice 3870572480 Receives reassigned benefits from 3 practitioners
Practice locations: Tucson, AZ

National Provider Directory

National Provider Directory

Locations

1209 W Target Range Rd
Ste 102
Nogales, AZ 85621
Phone (520) 287-4020

1745 E Skyline Dr
Ste 175
Tucson, AZ 85718
Phone (520) 742-1900

5053 S 12th Ave
Tucson, AZ 85706

1980 W Hospital Dr
Ste 311
Tucson, AZ 85704
Phone (520) 742-1900

Practitioners & affiliated clinicians

Practitioners 4

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": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317340800000",
    "number": "1164542734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1745 E SKYLINE DRIVE",
            "address_2": "SUITE 175",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857181162",
            "telephone_number": "520-742-1900",
            "fax_number": "520-742-1170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1745 E SKYLINE DR",
            "address_2": "SUITE 175",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857181162",
            "telephone_number": "520-742-1900",
            "fax_number": "520-742-1170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUCSON EYE PHYSICIANS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2011-09-30",
        "status": "A",
        "authorized_official_last_name": "KAUFER",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "520-742-1900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "14439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "564402",
            "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 Sep 30, 2011; 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.