Active NPI
Mohave Eye Center, LTD
- Optometrist
- Kingman, AZ
National Provider Identifier
1275085284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- MOHAVE EYE CENTER, LTD
- Practice address
- 1925 Florence Ave
Kingman, AZ 86401-4617 - Phone
- (928) 753-2106
- Fax
- (928) 753-4283
- NPI assigned
- Oct 26, 2016
- Last updated
- Oct 26, 2016
- Organization subpart
- Yes
- Parent organization
- MOHAVE EYE CENTER, LTD
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kathrine L Winters
- Title
- Administrator
- Phone
- (928) 753-2106
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
1925 Florence Ave
Kingman, AZ 86401-4617
Mailing address
2005 Injo Dr
Suite 102
Lake Havasu City, AZ 86403-5874
Phone (928) 753-2106
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1100290003 | Other | AZ | PTAN |
| Z20872 | Other | AZ | MEDICARE |
National Provider Directory
National Provider Directory- Part of
- Mohave Eye Center LTD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477440000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1477440000000",
"number": "1275085284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2005 INJO DR",
"address_2": "SUITE 102",
"city": "LAKE HAVASU CITY",
"state": "AZ",
"postal_code": "864035874",
"telephone_number": "928-753-2106",
"fax_number": "928-753-4283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1925 FLORENCE AVE",
"city": "KINGMAN",
"state": "AZ",
"postal_code": "864014617",
"telephone_number": "928-753-2106",
"fax_number": "928-753-4283"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOHAVE EYE CENTER, LTD",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MOHAVE EYE CENTER, LTD",
"enumeration_date": "2016-10-26",
"last_updated": "2016-10-26",
"status": "A",
"authorized_official_last_name": "WINTERS",
"authorized_official_first_name": "KATHRINE",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "928-753-2106"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "1100290003",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "Z20872",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kingman, AZ
- Marc L Miller, MD
- Mindful Solutions Behavioral Health Services
- Mobility Prosthetic and Orthotic Services LLC
- Mohave Dental Associates PC
- Mohave Desert Orthopaedic Center LLC
- Mohave Eye Centers LTD
- Mohave Eye Surgery Center
- Mohave Family Chiropractic LLC
- Mohave Medical Oncology Center
- Mohave Mental Health Clinic Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.