Active NPI
Eye Associates LTD
- Ophthalmology Physician
- Tucson, AZ
National Provider Identifier
1225254733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- EYE ASSOCIATES LTD
- Practice address
- 6130 N la Cholla
Suite 245
Tucson, AZ 85741 - Phone
- (520) 297-0888
- Fax
- (520) 888-9545
- NPI assigned
- Apr 17, 2007
- 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
- Michael C Diesenhouse, MD
- Title
- President and Ceo
- Phone
- (520) 888-6600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
6130 N la Cholla
Suite 245
Tucson, AZ 85741
Mailing address
5240 E Knight Drive
Suite 104
Tucson, AZ 85712
Phone (520) 795-2062
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930042044 | AZ | DME Supplier - Physician - Ophthalmology | 1355232653 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Tucson, AZ |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Durable Medical Equipment & Medical Supplies
- Tucson, AZ
- NPI 1851780019
O20100930042044
National Provider Directory
National Provider DirectoryLocations
5240 E Knight Dr
#9193
Tucson, AZ 85712
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1488758400000",
"number": "1225254733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5240 E KNIGHT DRIVE",
"address_2": "SUITE 104",
"city": "TUCSON",
"state": "AZ",
"postal_code": "85712",
"telephone_number": "520-795-2062",
"fax_number": "520-326-5317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6130 N LA CHOLLA",
"address_2": "SUITE 245",
"city": "TUCSON",
"state": "AZ",
"postal_code": "85741",
"telephone_number": "520-297-0888",
"fax_number": "520-888-9545"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EYE ASSOCIATES LTD",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-17",
"last_updated": "2017-03-06",
"status": "A",
"authorized_official_last_name": "DIESENHOUSE",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT AND CEO",
"authorized_official_telephone_number": "520-888-6600",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Mar 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.