Organization Active NPI

Childrens Eye Center PLLC

  • Ophthalmology Physician
  • Tucson, AZ
National Provider Identifier
1174785224
Registry record updated Nov 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
35917 Issued in AZ
Legal business name
CHILDRENS EYE CENTER PLLC
Practice address
1500 N Wilmot Rd
Suite a 100
Tucson, AZ 85712-4416
Phone
(520) 777-3777
Fax
(520) 777-3220
NPI assigned
Jun 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2012

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

Authorized official

Name
David W Day, MD
Title
President
Phone
(520) 777-3777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 35917 AZ Primary

Addresses

Primary practice location

1500 N Wilmot Rd
Suite a 100
Tucson, AZ 85712-4416

Mailing address

PO Box 43160
Tucson, AZ 85733-3160
Phone (520) 722-3777

Other identifiers 2

IdentifierTypeStateIssuer
127689MedicaidAZ
345138MedicaidAZ

National Provider Directory

National Provider Directory

Locations

1500 N Wilmot Rd
Ste A100
Tucson, AZ 85712
Phone (520) 777-3777

1500 N Wilmot Rd
Ste 100
Tucson, AZ 85712
Phone (520) 777-3777

NPI Registry JSON

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353024000000",
    "number": "1174785224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43160",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857333160",
            "telephone_number": "520-722-3777",
            "fax_number": "520-296-6224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 N WILMOT RD",
            "address_2": "SUITE A 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857124416",
            "telephone_number": "520-777-3777",
            "fax_number": "520-777-3220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS EYE CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-30",
        "last_updated": "2012-11-16",
        "status": "A",
        "authorized_official_last_name": "DAY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-777-3777",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "35917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127689",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "345138",
            "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 Nov 16, 2012; 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.