Ebcon Optics LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1352 Issued in AZ

Legal business name

EBCON OPTICS LLC

Practice address

500 N Estrella Pkwy
Goodyear, AZ 85338-4135

Phone

(623) 980-5496

NPI assigned

Feb 8, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Frederick Charles Buensuceso, O.D.

Title

Optometrist

Phone

(623) 980-5496

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Mathews

  • Mental Health Counselor
  • Bend, OR
  • NPI 1962348110
  NPD

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

{
    "created_epoch": "1297123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309132800000",
    "number": "1427354422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N ESTRELLA PKWY",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853384135",
            "telephone_number": "623-980-5496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N ESTRELLA PKWY",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853384135",
            "telephone_number": "623-980-5496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EBCON OPTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-08",
        "last_updated": "2011-06-27",
        "status": "A",
        "authorized_official_last_name": "BUENSUCESO",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "623-980-5496",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Kristine Dyck, RN
• Maria Sarrazin Earl, CRNA
• Nicole Kitts Early, PHARM.D.
• Leslie Easley, D.O
• Arti Easwar, M.D.
• Larry Eckels, HAD
• Keanna Patrice Eddings, MSN, APRN, FNP-C
• Shawnte Edmond, RN, FNP-C
• Tim Fredrik E. Edquilag, LPC, NCC
• Tania Edwards, AUDD

• Optometrist in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2011; 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.