Organization Active NPI

Netra Eye Clinic

  • Optometrist
  • Tucson, AZ
National Provider Identifier
1194268391
Registry record updated Nov 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
46811 Issued in AZ
Legal business name
NETRA EYE CLINIC
Practice address
1241 N Wilmont Road
Tucson, AZ 85712
Phone
(520) 392-0585
NPI assigned
Nov 21, 2016
Last updated
Nov 21, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2016

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

Authorized official

Name
Dr. Thiripurasundary Pugazhendhi
Title
Practitioner
Phone
(520) 396-8040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 46811 AZ Primary

Addresses

Primary practice location

1241 N Wilmont Road
Tucson, AZ 85712

Mailing address

1241 N Wilmont Road
Tucson, AZ 85712-6462

Other identifiers 1

IdentifierTypeStateIssuer
930958MedicaidAZ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1479686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479686400000",
    "number": "1194268391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1241 N WILMONT ROAD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857126462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 N WILMONT ROAD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85712",
            "telephone_number": "520-392-0585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NETRA EYE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-21",
        "last_updated": "2016-11-21",
        "status": "A",
        "authorized_official_last_name": "PUGAZHENDHI",
        "authorized_official_first_name": "THIRIPURASUNDARY",
        "authorized_official_title_or_position": "PRACTITIONER",
        "authorized_official_telephone_number": "520-396-8040",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "46811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "930958",
            "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 21, 2016; 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.