Alpine Eyecare LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

ALPINE EYECARE LLC

Practice address

42680 Hwy 180
Alpine, AZ 85920

Phone

(928) 339-3939

NPI assigned

Jun 24, 2022

Last updated

Apr 2, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Charles Elliott Ferrin, ODNPI 1629128525

Title

Manager

Phone

(928) 322-6517

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles Elliott Ferrin, OD

  • Optometrist
  • Safford, AZ
  • NPI 1629128525
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1656028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712016000000",
    "number": "1306577820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 212",
            "city": "ALPINE",
            "state": "AZ",
            "postal_code": "859200212",
            "telephone_number": "928-339-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42680 HWY 180",
            "city": "ALPINE",
            "state": "AZ",
            "postal_code": "85920",
            "telephone_number": "928-339-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPINE EYECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-24",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A",
        "authorized_official_last_name": "FERRIN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "ELLIOTT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "928-322-6517",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alpine Fire District

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.