Central Arizona Eye Clinic P.C.

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

193588 Issued in AZ

Legal business name

CENTRAL ARIZONA EYE CLINIC P.C.

Practice address

2517 N Great Western Dr
Suite I
Prescott Valley, AZ 86314-2597

Phone

(928) 772-6246

Fax

(928) 772-9329

NPI assigned

Jan 18, 2008

Organization subpart

No

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

Authorized official

Name

Dr. William David Rummel, M.D.

Title

President/Owner

Phone

(928) 772-6246

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Rummel optical Doing business as

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

{
    "created_epoch": "1200614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470009600000",
    "number": "1235315482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2517 N GREAT WESTERN DR",
            "address_2": "SUITE I",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863142597",
            "telephone_number": "928-772-6246",
            "fax_number": "928-772-9329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2517 N GREAT WESTERN DR",
            "address_2": "SUITE I",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863142597",
            "telephone_number": "928-772-6246",
            "fax_number": "928-772-9329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL ARIZONA EYE CLINIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-18",
        "last_updated": "2016-08-01",
        "status": "A",
        "authorized_official_last_name": "RUMMEL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "928-772-6246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "AZ",
            "license": "193588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "305583",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rummel optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samantha Erin Casey
• Caitlyn Casperson, RN
• Donna Lee Castaneda, LISAC
• Anthony James Cecchini, MSN, RN, FNP
• Center for Orthopedic Research and Education LLC
• Central Arizona Fire and Medical Authority
• Gina Cha, REGISTERED DIETITIAN
• Amanda Chance
• Tien Thuy Chau, DDS
• Kayleena Jeanine- Tejada Chentfant, FNP

• Eyewear Supplier in Prescott Valley, AZ
• Providers in Prescott Valley, AZ by specialty
• Eyewear Supplier in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.