Essential Eyecare Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1554 Issued in AZ

Legal business name

ESSENTIAL EYECARE INC.

Practice address

10659 Grand Ave Ste 5
Sun City, AZ 85351-3427

Phone

(623) 249-2781

Fax

(623) 243-9694

NPI assigned

Oct 27, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Pramesh Patel, O.D.

Title

Owner

Phone

(623) 249-2781

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1414368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415750400000",
    "number": "1356746846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10659 GRAND AVE STE 5",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513427",
            "telephone_number": "623-249-2781",
            "fax_number": "623-243-9694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10659 GRAND AVE STE 5",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513427",
            "telephone_number": "623-249-2781",
            "fax_number": "623-243-9694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENTIAL EYECARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-27",
        "last_updated": "2014-11-12",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PRAMESH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-249-2781",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Sun City, AZ
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• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.