Somerton Eyecare Center Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

1210 Issued in AZ

Legal business name

SOMERTON EYECARE CENTER INC

Practice address

725 E. Main St.
Suite 1C
Somerton, AZ 85350-0634

Phone

(928) 627-4525

NPI assigned

Feb 20, 2007

Organization subpart

No

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

Authorized official

Name

Nancy M De la VaraNPI 1790089928

Title

Licensed Optician

Phone

(928) 627-4525

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 4

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

• Jacob Richard Bromley, OD

  • Optometrist
  • Somerton, AZ
  • NPI 1992310312
  Medicare reassignment Care Compare group NPD
• Jesse Vincent Dominguez, O.D.

  • Optometrist
  • Somerton, AZ
  • NPI 1669789814
  Medicare reassignment Care Compare group NPD
• Nancy De la Vara

  • Optician
  • Somerton, AZ
  • NPI 1790089928
  NPD Authorized official
• Dennis Alan Ingram, STATE LICENSED OPTIC

  • Optician
  • Parker, AZ
  • NPI 1194938373
  NPD (past)

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376956800000",
    "number": "1306981386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 634",
            "city": "SOMERTON",
            "state": "AZ",
            "postal_code": "853500634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 E. MAIN ST.",
            "address_2": "SUITE 1C",
            "city": "SOMERTON",
            "state": "AZ",
            "postal_code": "853500634",
            "telephone_number": "928-627-4525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMERTON EYECARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2013-08-20",
        "status": "A",
        "authorized_official_last_name": "DE LA VARA",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "LICENSED OPTICIAN",
        "authorized_official_telephone_number": "928-627-4525"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• San Luis Walk-in Clinic, Inc.
• Valeria Sandoval
• Scolex Consulting Inc
• Yolanda Olivia Serrato
• Dulce M Sesma
• Somerton Medical Supplies Inc.
• Somerton Pharma LLC
• Somerton School District
• Speech First LLC
• Michael Eric Stevens, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; 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.