Southern Arizona Ophthalmology PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

8164 Issued in AZ

Legal business name

SOUTHERN ARIZONA OPHTHALMOLOGY PC

Doing business as

Southern Arizona Ophthalmology LTD

Practice address

5675 E Grant Rd
Tucson, AZ 85712-2211

Phone

(520) 721-7995

Fax

(520) 721-0654

NPI assigned

Aug 4, 2008

Organization subpart

No

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

Authorized official

Name

Ryan Teeple, MDNPI 1114245693

Title

President

Phone

(520) 721-7995

Specialties & licenses 1

Addresses

Other names 1

• Southern Arizona Ophthalmology LTD Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 1

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.

• Ryan Teeple, MD

  • Ophthalmology Physician
  • Tucson, AZ
  • NPI 1114245693
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554508800000",
    "number": "1477719979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5675 E GRANT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122211",
            "telephone_number": "520-721-7995",
            "fax_number": "520-721-0654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5675 E GRANT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122211",
            "telephone_number": "520-721-7995",
            "fax_number": "520-721-0654"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5635 E Grant Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857122211",
            "country_code": "US",
            "telephone_number": "520-721-7995",
            "fax_number": "520-721-0654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTHERN ARIZONA OPHTHALMOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-04",
        "last_updated": "2019-04-06",
        "status": "A",
        "authorized_official_last_name": "TEEPLE",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-721-7995",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "8164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Arizona Ophthalmology LTD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Southern Arizona Internal Medicine PLLC
• Southern Arizona Internal Medicine, PLLC
• Southern Arizona Limb Preservation Center LLC
• Southern Arizona Medical Specialists LTD
• Southern Arizona Neuropsychology Associates LLC
• Southern Arizona Oral & Maxillofacial Surgery, P.C.
• Southern Arizona Orthopedics, P.C.
• Southern Arizona Pathology Associates, LLC.
• Southern Arizona Periodontics PLC
• Southern Arizona Plastic Surgery, PLLC

• Ophthalmology Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Ophthalmology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.