Glamoureyes1, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

GLAMOUREYES1, PLLC

Practice address

4734 E Ray Rd
Phoenix, AZ 85044-6225

Phone

(480) 567-9862

NPI assigned

Jun 22, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Keyla A. Gammarano, ODNPI 1497390173

Title

Optometrist

Phone

(480) 967-9862

Specialties & licenses 1

Addresses

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.

• Keyla A. Gammarano, OD

  • Optometrist
  • Phoenix, AZ
  • NPI 1497390173
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1655856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655856000000",
    "number": "1497486369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2875 W RAY RD",
            "address_2": "SUITE 6 #148",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "85224",
            "telephone_number": "480-567-9862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4734 E RAY RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850446225",
            "telephone_number": "480-567-9862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLAMOUREYES1, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-22",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-13",
        "status": "A",
        "authorized_official_last_name": "GAMMARANO",
        "authorized_official_first_name": "KEYLA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "480-967-9862",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; 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.