Individual provider Active NPI

Carol Lipton, OD

  • Optometrist
  • Tucson, AZ
National Provider Identifier
1447391792
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1435 Issued in AZ
Practice address
4545 N Oracle Rd
# 101
Tucson, AZ 85705
Phone
(520) 888-6955
Fax
(520) 888-0354
NPI assigned
Feb 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1435 AZ Primary

Addresses

Primary practice location

4545 N Oracle Rd
# 101
Tucson, AZ 85705

Mailing address

9160 E Showcase LN
Tucson, AZ 85749
Phone (520) 495-4122

Other identifiers 1

IdentifierTypeStateIssuer
1435OtherAZAZ BOARD OF OPTOMETRY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160414000340 CO Practitioner - Optometry 4183773187 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1435AZMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Abba Eye Care PC Optometrist CurrentSince Jan 18, 2022 Accepting new patients
Family First Vision Care Colorado LLC Optometrist CurrentSince Aug 13, 2022 Accepting new patients
Abba Eye Care PC Optometrist CurrentSince Jan 18, 2022 Accepting new patients
Tom Sowash OD & Associates PC Optometrist Past Accepting new patients
Visionworks Inc Past Accepting new patients

Locations

6220 Woodmen Park Vw
Colorado Springs, CO 80923
Phone (719) 634-2020

4430 N Nevada Ave
Colorado Springs, CO 80907
Phone (719) 635-2020

1813 N Circle Dr
Colorado Springs, CO 80909
Phone (719) 632-2020

1130 Lake Plaza Dr
Ste 130
Colorado Springs, CO 80906
Phone (719) 578-2020

1685 S Colorado Blvd
Unit O
Denver, CO 80222
Phone (303) 757-6747

7975 Fountain Mesa Rd
Fountain, CO 80817
Phone (719) 573-2020

8441 S Yosemite St
Ste 2
Lone Tree, CO 80124
Phone (303) 768-8721

316 S Hamilton Rd
Gahanna, OH 43230

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447391792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9160 E SHOWCASE LN",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85749",
            "telephone_number": "520-495-4122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 N ORACLE RD",
            "address_2": "# 101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85705",
            "telephone_number": "520-888-6955",
            "fax_number": "520-888-0354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPTON",
        "first_name": "CAROL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ BOARD OF OPTOMETRY",
            "identifier": "1435",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.