Organization Active NPI

Rummel Eye Care, P.C.

  • Ophthalmologic Surgery Clinic/Center
  • Prescott, AZ
National Provider Identifier
1336107036
Registry record updated Mar 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X
License
OSC0079 Issued in AZ
Legal business name
RUMMEL EYE CARE, P.C.
Practice address
1022 Willow Creek Rd
Prescott, AZ 86301-1607
Phone
(928) 445-1341
NPI assigned
May 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2013

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

Authorized official

Name
Dianne Marie Schwartz
Title
Billing Supervisor
Phone
(928) 445-1341

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X OSC0079 AZ
Ophthalmologic Surgery Clinic/Center 261QS0132X OSC0079 AZ Primary

Addresses

Primary practice location

1022 Willow Creek Rd
Prescott, AZ 86301-1607

Mailing address

1022 Willow Creek Rd
Suite 200
Prescott, AZ 86301-1607
Phone (928) 445-1341

Other identifiers 1

IdentifierTypeStateIssuer
310285MedicaidAZ

Other names 1

  • Rummel Eye Care/Eye Surgery Services Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100610001207 AZ Part B Supplier - Ambulatory Surgical Center 7618865841 Practice locations: Prescott, AZ

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Rummel Eye CareCCN 03C0001202
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

2517 N Great Western Dr
Ste I
Prescott Valley, AZ 86314
Phone (928) 772-6246

2517 N Great Western Dr
Ste 1
Prescott Valley, AZ 86314

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363046400000",
    "number": "1336107036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 WILLOW CREEK RD",
            "address_2": "SUITE 200",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011607",
            "telephone_number": "928-445-1341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 WILLOW CREEK RD",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011607",
            "telephone_number": "928-445-1341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUMMEL EYE CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2013-03-12",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "DIANNE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "928-445-1341"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "AZ",
            "license": "OSC0079",
            "primary": false
        },
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "AZ",
            "license": "OSC0079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "310285",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rummel Eye Care/Eye Surgery Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2013; 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.