Yuma Eyecare Group LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

YUMA EYECARE GROUP LLC

Practice address

1401 S Yuma Palms Pkwy
Space G02
Yuma, AZ 85365-1711

Phone

(928) 783-1383

NPI assigned

Nov 22, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kerry K Pearson, O.D.NPI 1265455034

Title

Manager

Phone

(602) 999-7666

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kerry Karl Pearson, O.D.

  • Optometrist
  • Mesa, AZ
  • NPI 1265455034
  NPD (past) Authorized official
• Marisa Beebe, OD

  • Optometrist
  • Meza, AZ
  • NPI 1356447510
  NPD (past)
• Justin Macklin, O.D.

  • Optometrist
  • Phoenix, AZ
  • NPI 1669864641
  NPD (past)

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477628717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 W SOUTHERN AVE",
            "address_2": "#2242",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024803",
            "telephone_number": "480-345-7520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 S YUMA PALMS PKWY",
            "address_2": "SPACE G02",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853651711",
            "telephone_number": "928-783-1383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YUMA EYECARE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "KERRY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "602-999-7666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yuma Elementary School District One
• Yuma Endoscopy Center
• Yuma Endoscopy Sedation Service, LLC
• Yuma Eye Associates, P.C.
• Yuma Eye Surgery Center
• Yuma Family Dental, PLLC
• Yuma Family Practice PLC
• Yuma Flas Phcy
• Yuma Foot & Ankle Care, Inc.
• Yuma Gastro LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.