Active NPI
Yavapai Eye Care LLC
- Clinic/Center
- Prescott Valley, AZ
National Provider Identifier
1275168528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- YAVAPAI EYE CARE LLC
- Practice address
- 7763 E Florentine Rd
Prescott Valley, AZ 86314-2289 - Phone
- (801) 645-4572
- Fax
- (928) 772-1279
- NPI assigned
- Mar 6, 2020
- 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
- Jared G Smedley
- Title
- Authorized Official
- Phone
- (928) 775-9393
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | |||
| Technician/Technologist | 156F00000X | |||
| Ophthalmic Technician/Technologist | 156FX1100X | |||
| Optometric Technician | 156FX1202X | |||
| Ophthalmology Physician | 207W00000X | |||
| Clinic/Center | 261Q00000X | Primary | ||
| Ophthalmologic Surgery Clinic/Center | 261QS0132X |
Addresses
Primary practice location
7763 E Florentine Rd
Prescott Valley, AZ 86314-2289
Mailing address
7763 E Florentine Rd
Prescott Valley, AZ 86314-2289
Phone (801) 645-4572
National Provider Directory
National Provider DirectoryLocations
7763 E Florentine Rd
Prescott Vly, AZ 86314
Phone (928) 717-1800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583452800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713484800000",
"number": "1275168528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7763 E FLORENTINE RD",
"city": "PRESCOTT VALLEY",
"state": "AZ",
"postal_code": "863142289",
"telephone_number": "801-645-4572",
"fax_number": "928-772-1279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7763 E FLORENTINE RD",
"city": "PRESCOTT VALLEY",
"state": "AZ",
"postal_code": "863142289",
"telephone_number": "801-645-4572",
"fax_number": "928-772-1279"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YAVAPAI EYE CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-03-06",
"last_updated": "2024-04-19",
"certification_date": "2024-04-19",
"status": "A",
"authorized_official_last_name": "SMEDLEY",
"authorized_official_first_name": "JARED",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "928-775-9393"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": false
},
{
"code": "156F00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician/Technologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "156FX1100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician/Technologist, Ophthalmic",
"state": null,
"license": null,
"primary": false
},
{
"code": "156FX1202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician/Technologist, Optometric Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QS0132X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ophthalmologic Surgery",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Prescott Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.