Alvernon Optical, Inc.

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

813 Issued in AZ

Legal business name

ALVERNON OPTICAL, INC.

Practice address

4747 E Sunrise Dr
Tucson, AZ 85718-8500

Phone

(520) 299-4000

Fax

(520) 577-7656

NPI assigned

Mar 23, 2007

Organization subpart

No

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

Authorized official

Name

Stacia A Decker, LDO

Title

VP of Retail

Phone

(520) 327-6215

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225324800000",
    "number": "1366569766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4747 E SUNRISE DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857188500",
            "telephone_number": "520-299-4000",
            "fax_number": "520-577-7656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4747 E SUNRISE DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857188500",
            "telephone_number": "520-299-4000",
            "fax_number": "520-577-7656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALVERNON OPTICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2008-10-30",
        "status": "A",
        "authorized_official_last_name": "DECKER",
        "authorized_official_first_name": "STACIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VP OF RETAIL",
        "authorized_official_telephone_number": "520-327-6215",
        "authorized_official_credential": "LDO"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "AZ",
            "license": "813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "405200",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Michelle Alvarez, RRT
• Vivian Alvarez, RBT
• Yessica A Alvarez
• Kathryn Alver, PHARM.D.
• Alvernon Allergy and Asthma, P.C.
• Alvernon Optical, Inc.
• Alvernon Optical, Inc.
• Alvernon Optical, Inc.
• Alvernon Optical, Inc.
• Jennifer Alvidrez, RN

• Eyewear Supplier in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Eyewear Supplier in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2008; 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.