Individual provider Active NPI

Jennifer Valente-Caywood, O.D.

  • Optometrist
  • Tucson, AZ
National Provider Identifier
1649267055
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1460 Issued in AZ
Practice address
2312 N Rosemont Blvd Ste 103
Tucson, AZ 85712-6114
Phone
(520) 261-2563
Fax
(520) 263-1269
NPI assigned
Sep 30, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TPOP66 FL
Optometrist 152W00000X 1460 AZ Primary

Addresses

Primary practice location

2312 N Rosemont Blvd Ste 103
Tucson, AZ 85712-6114

Mailing address

10269 E Gray Hawk Dr
Tucson, AZ 85730-6115
Phone (520) 820-8176

Other practice location 1

4340 W Ina Rd
Tucson, AZ 85741-2232
Phone (520) 261-2563

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051011000878 AZ Practitioner - Optometry 2668497496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1607 N Wilmot Rd
Suite 101D
Tucson, AZ 85712-4477
Phone (520) 261-2563

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1460AZMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer Valente Caywood OD LTD CurrentSince May 21, 2020 Accepting new patients
Amro Habib OD LLC PastSince Jan 1, 2008 Accepting new patients

Locations

7402 E Broadway Blvd
Tucson, AZ 85710
Phone (520) 261-2563

4340 W Ina Rd
Tucson, AZ 85741
Phone (520) 261-2563

3615 N Prince Village Pl
Ste 101
Tucson, AZ 85719

2312 N Rosemont Blvd
Ste 103
Tucson, AZ 85712
Phone (520) 232-9797

1607 N Wilmot Rd
Ste 101D
Tucson, AZ 85712
Phone (520) 261-2563

3615 N Prince Village Pl
Tucson, AZ 85719
Phone (520) 261-2563

5240 E Knight Dr
Ste 104
Tucson, AZ 85712
Phone (520) 795-4202

3070 Bristol Pike
Ste 2-220
Bensalem, PA 19020
Phone 2144971001108

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1649267055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10269 E GRAY HAWK DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857306115",
            "telephone_number": "520-820-8176",
            "fax_number": "520-263-1269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2312 N ROSEMONT BLVD STE 103",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857126114",
            "telephone_number": "520-261-2563",
            "fax_number": "520-263-1269"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4340 W Ina Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857412232",
            "country_code": "US",
            "telephone_number": "520-261-2563",
            "fax_number": "520-263-1269",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALENTE-CAYWOOD",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-30",
        "last_updated": "2021-06-10",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "TPOP66",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.