Organization Active NPI

Healthy Eyes LLC

  • Optometrist
  • Phoenix, AZ
National Provider Identifier
1578865796
Registry record updated Nov 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
HEALTHY EYES LLC
Practice address
4568 E Cactus Rd
Phoenix, AZ 85032-7702
Phone
(623) 224-7001
Fax
(623) 932-2151
NPI assigned
Nov 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2010

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

Authorized official

Name
Dr. Durga Yerramilli, O.D.NPI 1598931669
Title
President
Phone
(623) 224-7001

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

4568 E Cactus Rd
Phoenix, AZ 85032-7702

Mailing address

16110 W Hualapai St
Goodyear, AZ 85338-7941
Phone (623) 224-7001

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.

NPI Registry JSON

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

{
    "created_epoch": "1290124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290124800000",
    "number": "1578865796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16110 W HUALAPAI ST",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853387941",
            "telephone_number": "623-224-7001",
            "fax_number": "623-932-2151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4568 E CACTUS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850327702",
            "telephone_number": "623-224-7001",
            "fax_number": "623-932-2151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY EYES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-19",
        "last_updated": "2010-11-19",
        "status": "A",
        "authorized_official_last_name": "YERRAMILLI",
        "authorized_official_first_name": "DURGA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-224-7001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

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

Verify at the official NPI Registry.