Individual provider Active NPI

Angela R Calavaza

  • Optician
  • Green Valley, AZ
National Provider Identifier
1598569691
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
LDO-003416 Issued in AZ
Practice address
18680 S Nogales Hwy
Green Valley, AZ 85614-4995
Phone
(520) 625-7949
Fax
(520) 625-7949
NPI assigned
Apr 1, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X LDO-003416 AZ Primary

Addresses

Primary practice location

18680 S Nogales Hwy
Green Valley, AZ 85614-4995

Mailing address

18680 S Nogales Hwy
Green Valley, AZ 85614-4995
Phone (520) 625-7949

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

LicenseStateTypeSpecialty
LDO-003416AZMDOptician

NPI Registry JSON

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

{
    "created_epoch": "1743465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1598569691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18680 S NOGALES HWY",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856144995",
            "telephone_number": "520-625-7949",
            "fax_number": "520-625-7949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18680 S NOGALES HWY",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856144995",
            "telephone_number": "520-625-7949",
            "fax_number": "520-625-7949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALAVAZA",
        "first_name": "ANGELA",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-01",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "AZ",
            "license": "LDO-003416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; 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.