Organization Active NPI

Desert Low Vision Services, LLC

  • Customized Equipment (DME)
  • Tucson, AZ
National Provider Identifier
1669623682
Registry record updated Oct 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
10187536-J Issued in AZ
Legal business name
DESERT LOW VISION SERVICES, LLC
Practice address
1645 N Alvernon Way
Suite 2
Tucson, AZ 85712-3353
Phone
(520) 881-3439
Fax
(520) 881-3482
NPI assigned
Oct 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2008

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

Authorized official

Name
Ms. Janet Marie Dylla, LPN
Title
Owner
Phone
(520) 881-3439

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 10187536-J AZ Primary

Addresses

Primary practice location

1645 N Alvernon Way
Suite 2
Tucson, AZ 85712-3353

Mailing address

1645 N Alvernon Way
Suite 2
Tucson, AZ 85712-3353
Phone (520) 881-3439

National Provider Directory

National Provider Directory

Locations

1645 N Alvernon Way
Ste 2
Tucson, AZ 85712
Phone (520) 881-3439

NPI Registry JSON

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

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223424000000",
    "number": "1669623682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 N ALVERNON WAY",
            "address_2": "SUITE 2",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857123353",
            "telephone_number": "520-881-3439",
            "fax_number": "520-881-3482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 N ALVERNON WAY",
            "address_2": "SUITE 2",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857123353",
            "telephone_number": "520-881-3439",
            "fax_number": "520-881-3482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT LOW VISION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-08",
        "last_updated": "2008-10-08",
        "status": "A",
        "authorized_official_last_name": "DYLLA",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-881-3439",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "AZ",
            "license": "10187536-J",
            "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 Oct 8, 2008; 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.