Organization Active NPI

Cambridge Eye Care, PLLC

  • Optometrist
  • Buckeye, AZ
National Provider Identifier
1386484392
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
CAMBRIDGE EYE CARE, PLLC
Practice address
1111 N. Verrado Way
Buckeye, AZ 85326
Phone
(480) 618-4015
Fax
(480) 618-4016
NPI assigned
May 28, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Authorized official

Name
Dr. Jennifer Elhabiby, OD
Title
Authorized Official
Phone
(480) 618-4015

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

1111 N. Verrado Way
Buckeye, AZ 85326

Mailing address

1111 N. Verrado Way
Buckeye, AZ 85326
Phone (480) 618-4015

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1716854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721088000000",
    "number": "1386484392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 N. VERRADO WAY",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "85326",
            "telephone_number": "480-618-4015",
            "fax_number": "480-618-4016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 N. VERRADO WAY",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "85326",
            "telephone_number": "480-618-4015",
            "fax_number": "480-618-4016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMBRIDGE EYE CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-28",
        "last_updated": "2024-07-16",
        "status": "A",
        "authorized_official_last_name": "ELHABIBY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "480-618-4015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buckeye, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; 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.