Individual provider Active NPI

Carolyn Finnell, OD

  • Optometrist
  • Tucson, AZ
National Provider Identifier
1316137250
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T3017804 Issued in AZ
Practice address
10501 E Seven Generations Way Ste 101
Tucson, AZ 85747-5828
Phone
(520) 777-3515
Fax
(877) 395-0856
NPI assigned
Jul 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X T3017804 AZ Primary
Optometrist 152W00000X 1124 AZ

Addresses

Primary practice location

10501 E Seven Generations Way Ste 101
Tucson, AZ 85747-5828

Mailing address

1600 N Kolb Rd
Ste. 212
Tucson, AZ 85715-4934
Phone (520) 979-1306

Other practice location 1

1600 N Kolb Rd
Ste. 212
Tucson, AZ 85715-4934
Phone (520) 979-1306

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040726001404 AZ Practitioner - Optometry 5890765135 Reassigns benefits to 1 organization
Practice locations: Tucson, AZ

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1124AZMDPsychologist
T3017804AZMDOptometrist

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1316137250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 N KOLB RD",
            "address_2": "STE. 212",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857154934",
            "telephone_number": "520-979-1306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10501 E SEVEN GENERATIONS WAY STE 101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857475828",
            "telephone_number": "520-777-3515",
            "fax_number": "877-395-0856"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 N Kolb Rd",
            "address_2": "Ste. 212",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857154934",
            "country_code": "US",
            "telephone_number": "520-979-1306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FINNELL",
        "first_name": "CAROLYN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-26",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "T3017804",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1124",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.