Organization Active NPI

Mirabien, PLLC

  • Ophthalmology Physician
  • Tucson, AZ
National Provider Identifier
1346535978
Registry record updated Feb 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25265 Issued in AZ
Legal business name
MIRABIEN, PLLC
Practice address
1615 N Swan Rd
Tucson, AZ 85712-4046
Phone
(520) 392-7600
Fax
(520) 777-7703
NPI assigned
Jun 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2012

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

Authorized official

Name
Dr. Kristin Carter, M.D.NPI 1326123043
Title
Ophthalmogist
Phone
(520) 392-7600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 25265 AZ Primary

Addresses

Primary practice location

1615 N Swan Rd
Tucson, AZ 85712-4046

Mailing address

1615 N Swan Rd
Tucson, AZ 85712-4046
Phone (520) 392-7600

Other names 1

  • Kristin Carter, MD Eye Care & Surgery Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110824000277 AZ Part B Supplier - Clinic/Group Practice 0648440958 Receives reassigned benefits from 1 practitioner
Practice locations: Tucson, AZ

National Provider Directory

National Provider Directory

Locations

1627 N Swan Rd
Tucson, AZ 85712
Phone (520) 392-7600

1615 N Swan Rd
Tucson, AZ 85712
Phone (520) 392-7600

Practitioners & affiliated clinicians

Practitioners 1

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": "1307750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328572800000",
    "number": "1346535978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 N SWAN RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857124046",
            "telephone_number": "520-392-7600",
            "fax_number": "520-777-7703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 N SWAN RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857124046",
            "telephone_number": "520-392-7600",
            "fax_number": "520-777-7703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRABIEN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-11",
        "last_updated": "2012-02-07",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "OPHTHALMOGIST",
        "authorized_official_telephone_number": "520-392-7600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "25265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kristin Carter, MD Eye Care & Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2012; 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.