Buena Vista Optical

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

1067E Issued in AZ

Legal business name

BUENA VISTA OPTICAL

Practice address

300 E Osborn Rd
Suite 100
Phoenix, AZ 85012-2325

Phone

(602) 285-9215

NPI assigned

Oct 19, 2015

Organization subpart

No

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

Authorized official

Name

Robert Wayne Tinker, LICENSED OPTICIAN

Title

Manager

Phone

(602) 285-9215

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1445212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445212800000",
    "number": "1477924231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E OSBORN RD",
            "address_2": "SUITE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122325",
            "telephone_number": "602-285-9215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E OSBORN RD",
            "address_2": "SUITE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122325",
            "telephone_number": "602-285-9215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUENA VISTA OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-19",
        "last_updated": "2015-10-19",
        "status": "A",
        "authorized_official_last_name": "TINKER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "602-285-9215",
        "authorized_official_credential": "LICENSED OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "AZ",
            "license": "1067E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kurt T. Budenbender, DO
• Mark Budovitch
• Michelle Buel
• Laurel A Buell, OT
• Buena Vista Opthalmologists, P.C.
• Michael Lawrence Buenafe, M.D.
• Michelle Ellen Buenafe, M.D.
• Deljean Buenaventura, FNP
• Emerson Bumanglag Bueno, MD
• Fernanda Bueno, ATC

• Eyewear Supplier in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Eyewear Supplier in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; 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.