Fornara Eye Center P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

FORNARA EYE CENTER P.C.

Practice address

199 S Candy LN
2A
Cottonwood, AZ 86326-4183

Phone

(928) 634-2883

Fax

(928) 634-0110

NPI assigned

Jun 7, 2007

Organization subpart

No

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

Authorized official

Name

Kim K Fornara

Title

Secretary

Phone

(928) 634-2883

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Misty Lynne Cox, O.D.

  • Optometrist
  • Sun City, AZ
  • NPI 1457784308
  Medicare reassignment Care Compare group NPD
• Jason Wesley Fornara, O.D.

  • Optometrist
  • Cottonwood, AZ
  • NPI 1093149320
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257811200000",
    "number": "1295938207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 S. CANDY LN",
            "address_2": "2A",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "86326",
            "telephone_number": "928-634-2883",
            "fax_number": "928-634-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 S CANDY LN",
            "address_2": "2A",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264183",
            "telephone_number": "928-634-2883",
            "fax_number": "928-634-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORNARA EYE CENTER P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2009-11-10",
        "status": "A",
        "authorized_official_last_name": "FORNARA",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "928-634-2883"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Howard Stephen Feldman, M.D.
• Roger Lee Fenneman, L.AC.
• Kathy Lynn Fisher, O.M.D.,ACUPUNCTURIST
• Timothy J Fitch, PA-C
• Forefront Dermatology SC
• Jason Wesley Fornara, O.D.
• John David Fornara, O.D.
• Irene Lynette Forrest, ARNP-C
• Founders Healthcare, LLC
• Dylan Frauhiger, DPT

• Optometrist in Cottonwood, AZ
• Providers in Cottonwood, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2009; 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.

Verify at the official NPI Registry.