Organization Active NPI

Buena Vista Eyecare P. C.

  • Optometrist
  • Tucson, AZ
National Provider Identifier
1568742385
Registry record updated Aug 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
664 Issued in AZ
Legal business name
BUENA VISTA EYECARE P. C.
Practice address
2680 E Valencia Rd Ste 188
Tucson, AZ 85706-5962
Phone
(520) 889-7766
Fax
(520) 889-2306
NPI assigned
Aug 24, 2011
Last updated
Aug 24, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2011

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

Authorized official

Name
Dr. Bernie Raul Trejo, ODNPI 1376672865
Title
President
Phone
(520) 889-7766

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 664 AZ Primary

Addresses

Primary practice location

2680 E Valencia Rd Ste 188
Tucson, AZ 85706-5962

Mailing address

2680 E Valencia Rd Ste 188
Tucson, AZ 85706-5962
Phone (520) 889-7766

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1314144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314144000000",
    "number": "1568742385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2680 E VALENCIA RD STE 188",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857065962",
            "telephone_number": "520-889-7766",
            "fax_number": "520-889-2306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2680 E VALENCIA RD STE 188",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857065962",
            "telephone_number": "520-889-7766",
            "fax_number": "520-889-2306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUENA VISTA EYECARE P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-24",
        "last_updated": "2011-08-24",
        "status": "A",
        "authorized_official_last_name": "TREJO",
        "authorized_official_first_name": "BERNIE",
        "authorized_official_middle_name": "RAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-889-7766",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2011; 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.