Organization Active NPI

James a Tammaro MD PC

Doing business as Eyes of Arizona Vision and Surgery Center

  • Ophthalmology Physician
  • Lake Havasu City, AZ
National Provider Identifier
1194797795
Registry record updated Dec 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
JAMES A TAMMARO MD PC
Doing business as
Eyes of Arizona Vision and Surgery Center
Practice address
40 Capri Blvd
Suite 102
Lake Havasu City, AZ 86403-5661
Phone
(928) 855-9477
Fax
(928) 855-1799
NPI assigned
Feb 7, 2006
Last updated
Dec 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2010

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

Authorized official

Name
James A Tammaro
Title
Owner
Phone
(928) 855-9477

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU
Ophthalmology Physician 207W00000X NU Primary
Durable Medical Equipment & Medical Supplies 332B00000X 05-08778 AZ

Addresses

Primary practice location

40 Capri Blvd
Suite 102
Lake Havasu City, AZ 86403-5661

Mailing address

PO Box 3360
Lake Havasu City, AZ 86405-3360
Phone (928) 855-9477

Other identifiers 3

IdentifierTypeStateIssuer
077182MedicaidAZ
AZ0200500OtherAZBCBS
03C0001024OtherAZMEDICARE NSC

Other names 1

  • EYES OF ARIZONA VISION AND SURGERY CENTER Doing business as

National Provider Directory

National Provider Directory

Locations

151 Riviera Dr
Lk Havasu Cty, AZ 86403
Phone (928) 855-9477

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292371200000",
    "number": "1194797795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3360",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864053360",
            "telephone_number": "928-855-9477",
            "fax_number": "928-855-1799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 CAPRI BLVD",
            "address_2": "SUITE 102",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035661",
            "telephone_number": "928-855-9477",
            "fax_number": "928-855-1799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES A TAMMARO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-07",
        "last_updated": "2010-12-15",
        "status": "A",
        "authorized_official_last_name": "TAMMARO",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-855-9477"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AZ",
            "license": "05-08778",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "077182",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AZ0200500",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NSC",
            "identifier": "03C0001024",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EYES OF ARIZONA VISION AND SURGERY CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Havasu City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2010; 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.