Laveen Total Eyecare

Primary specialty

OptometristTaxonomy code 152W00000X

License

1205 Issued in AZ

Legal business name

LAVEEN TOTAL EYECARE

Practice address

5030 W Baseline Rd Ste 135
Laveen, AZ 85339-7331

Phone

(602) 237-4777

Fax

(602) 237-1205

NPI assigned

Apr 6, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Torrence Watkins, O.D.

Title

Owner

Phone

(480) 414-5022

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1302048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327449600000",
    "number": "1467741827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5030 W BASELINE RD STE 135",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853397331",
            "telephone_number": "602-237-4777",
            "fax_number": "602-237-1205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 W BASELINE RD STE 135",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853397331",
            "telephone_number": "602-237-4777",
            "fax_number": "602-237-1205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAVEEN TOTAL EYECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-06",
        "last_updated": "2012-01-25",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "TORRENCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-414-5022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laveen Modern Dentistry, LLP (Laveen Modern Dentistry)
• Laveen Pediatric Dental Partners, LLP (Laveen Kid's Dentist and Orthodontics)
• Laveen School District
• Laveen School District #59
• Laveen Smiles PLLC (Laveen Smiles)
• Laveen Total Eyecare
• Karen Layaw
• Delia Ledesma, RN
• Gage Lee, DPT
• Tiffany Lee

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; 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.