NPIMap

Organization Active NPI

RF Eye PC

  • Specialist
  • Sierra Vista, AZ
National Provider Identifier
1396969713
Registry record updated Jan 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
RF EYE PC
Practice address
2445 E Wilcox Dr
Sierra Vista, AZ 85635-2842
Phone
(520) 458-8131
Fax
(520) 458-0422
NPI assigned
Apr 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2019

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

Authorized official

Name
Letisha Dawn Kuder
Title
Administrator
Phone
(520) 458-8131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

2445 E Wilcox Dr
Sierra Vista, AZ 85635-2842

Mailing address

2445 E Wilcox Dr
Sierra Vista, AZ 85635-2842
Phone (520) 458-8131

Other names 1

  • Cochise Eye and Laser Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040428000091 AZ Part B Supplier - Clinic/Group Practice 5092702464 Receives reassigned benefits from 3 practitioners
Practice locations: Benson, AZ; Sierra Vista, AZ

Other NPIs with the same Medicare PAC ID 2

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

National Provider Directory

National Provider Directory
Tax ID family
RF Eye PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

880 W 4th St
Benson, AZ 85602
Phone (520) 586-9364

Practitioners & affiliated clinicians

Practitioners 3

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": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546473600000",
    "number": "1396969713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2445 E WILCOX DR",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352842",
            "telephone_number": "520-458-8131",
            "fax_number": "520-458-0422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2445 E WILCOX DR",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352842",
            "telephone_number": "520-458-8131",
            "fax_number": "520-458-0422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RF EYE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2019-01-03",
        "status": "A",
        "authorized_official_last_name": "KUDER",
        "authorized_official_first_name": "LETISHA",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "520-458-8131"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cochise Eye and Laser",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cochise Eye and Laser",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sierra Vista, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; 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.