Active NPI
Jason R Powell, O.D.
- Optometrist
- Tucson, AZ
National Provider Identifier
1578597191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- ODP-100051
- Practice address
- 7395 S Houghton Rd
Suite 129
Tucson, AZ 85747-3304 - Phone
- (520) 792-1450
- Fax
- (520) 664-1842
- NPI assigned
- Jul 10, 2006
- Sex
- Male
- 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 | ODP-100051 | ID | Primary |
Addresses
Primary practice location
7395 S Houghton Rd
Suite 129
Tucson, AZ 85747-3304
Mailing address
7950 S New Abbey Dr
Tucson, AZ 85747-9290
Phone (520) 574-1028
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ODP-100051 | ID | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264723200000",
"number": "1578597191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7950 S NEW ABBEY DR",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857479290",
"telephone_number": "520-574-1028",
"fax_number": "520-533-2568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7395 S HOUGHTON RD",
"address_2": "SUITE 129",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857473304",
"telephone_number": "520-792-1450",
"fax_number": "520-664-1842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "JASON",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2010-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "ID",
"license": "ODP-100051",
"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 Jan 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.