Active NPI
Geetha Parasuram, O.D.
- Optometrist
- Casa Grande, AZ
National Provider Identifier
1558737023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2081
- Practice address
- 775 E Florence Blvd
#2
Casa Grande, AZ 85122 - Phone
- (520) 426-1600
- NPI assigned
- Aug 19, 2015
- Last updated
- Oct 7, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2081 | AZ | Primary |
Addresses
Primary practice location
775 E Florence Blvd
#2
Casa Grande, AZ 85122
Mailing address
220 N McKemy Ave
Chandler, AZ 85226-2654
Phone (480) 961-1865
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z179891 | Other | AZ | MEDICARE PTAN |
| Z179892 | Other | AZ | MEDICARE PTAN |
| Z179896 | Other | AZ | MEDICARE PTAN |
| Z179894 | Other | AZ | MEDICARE PTAN |
| Z179895 | Other | AZ | MEDICARE PTAN |
| Z179893 | Other | AZ | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2081 | AZ | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444176000000",
"number": "1558737023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 N MCKEMY AVE",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852262654",
"telephone_number": "480-961-1865",
"fax_number": "480-961-8938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "775 E FLORENCE BLVD",
"address_2": "#2",
"city": "CASA GRANDE",
"state": "AZ",
"postal_code": "85122",
"telephone_number": "520-426-1600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARASURAM",
"first_name": "GEETHA",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-19",
"last_updated": "2015-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AZ",
"license": "2081",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "Z179891",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "Z179892",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "Z179896",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "Z179894",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "Z179895",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "Z179893",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Casa Grande, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.