James Eliot Fabricant, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

54 Issued in AZ

Practice address

3785 N. Oracle Rd
Tucson, AZ 85705

Phone

(520) 293-7031

Fax

(520) 293-7041

NPI assigned

May 21, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mathis Eye Care LLC

  • Optometrist
  • Cottonwood, AZ
  • NPI 1932311081

  AZ

  Medicare reassignment
• Eva Takacs, P.C.

  • Preferred Provider Organization
  • Tucson, AZ
  • NPI 1902175540
  NPD (past)
• National Vision, Inc.

  • Eyewear Supplier
  • Tucson, AZ
  • NPI 1154477883
  NPD (past)

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174732036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8677 VILLA LA JOLLA DR",
            "address_2": "#1221",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "92037",
            "telephone_number": "619-840-9984",
            "fax_number": "619-979-2083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3785 N. ORACLE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85705",
            "telephone_number": "520-293-7031",
            "fax_number": "520-293-7041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABRICANT",
        "first_name": "JAMES",
        "middle_name": "ELIOT",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "54",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Chidinma Ezenwaka, PMHNP
• F.C. of Arizona, Inc.
• Kimberly Mikell Faber, FNP
• Tatum Faber
• Jill Fabian, LCSW,LISAC
• Angel Lena Fabriguze, PHARM D
• Mylanie C. Facelo, D.O.
• Rosemarie A Facilla, MSW
• Gilbert Jerry Facio, CSA
• Michelle Marie Faddoul, LCSW#16997

• All providers in Tucson, AZ
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.