Active NPI
James a Tammaro MD PC
Doing business as Eyes of Arizona Vision and Surgery Center
- Ophthalmology Physician
- Lake Havasu City, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- 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, 2010
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 077182 | Medicaid | AZ | |
| AZ0200500 | Other | AZ | BCBS |
| 03C0001024 | Other | AZ | MEDICARE NSC |
Other names 1
- EYES OF ARIZONA VISION AND SURGERY CENTER
National Provider Directory
National Provider DirectoryLocations
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.
-
dba Eyes of Arizona Vision and Surgery Center
- Durable Medical Equipment & Medical Supplies
- Lake Havasu City, AZ
- NPI 1225000466
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.
-
- Ophthalmic Registered Nurse
- Yuma, AZ
- NPI 1558333518
-
- Optometrist
- Lake Havasu City, AZ
- NPI 1760458384
-
- Ophthalmology Physician
- Lake Havasu City, AZ
- NPI 1720069982
-
- Ophthalmology Physician
- Sheboygan, WI
- NPI 1215044128
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.