Individual provider Active NPI

Lucia Tredici, M.D.

  • Ophthalmology Physician
  • Chandler, AZ
National Provider Identifier
1467451625
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD19035 Issued in AZ
Practice address
2055 N Alma School Rd
Suite # 18
Chandler, AZ 85224-2866
Phone
(480) 899-0188
Fax
(480) 899-0199
NPI assigned
Jul 19, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD19035 AZ Primary

Addresses

Primary practice location

2055 N Alma School Rd
Suite # 18
Chandler, AZ 85224-2866

Mailing address

2055 N Alma School Rd
Suite # 18
Chandler, AZ 85224-2866
Phone (480) 899-0188

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD19035AZMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
David R. Stacy, O.D., L.L.C. Past Accepting new patients

Organizations & group practices 1

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": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1467451625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 N ALMA SCHOOL RD",
            "address_2": "SUITE # 18",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852242866",
            "telephone_number": "480-899-0188",
            "fax_number": "480-899-0199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 N ALMA SCHOOL RD",
            "address_2": "SUITE # 18",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852242866",
            "telephone_number": "480-899-0188",
            "fax_number": "480-899-0199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREDICI",
        "first_name": "LUCIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-19",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "MD19035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.