Van Buren Optical, LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

VAN BUREN OPTICAL, LLC

Practice address

1130 E Missouri Ave Ste 110
Phoenix, AZ 85014-2712

Phone

(602) 995-1166

Fax

(602) 995-2390

NPI assigned

May 31, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Jeremy J Vanburen, MD

Title

Owner

Phone

(602) 995-1166

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1496188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496188800000",
    "number": "1689102923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 E MISSOURI AVE STE 110",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142712",
            "telephone_number": "602-995-1166",
            "fax_number": "602-995-2390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 E MISSOURI AVE STE 110",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142712",
            "telephone_number": "602-995-1166",
            "fax_number": "602-995-2390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN BUREN OPTICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-31",
        "last_updated": "2017-05-31",
        "status": "A",
        "authorized_official_last_name": "VANBUREN",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-995-1166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valeria Valverde, MD
• Vamos Health Az LLC
• Paul William Van Berkel, D.C.
• Detza Ericka Van Bogaert, LMSW
• Van Buren Medicine, LLC
• Becky Van Buren, FNP
• Jeremy J. Van Buren, M.D., PH.D.
• Regina B Van Buren, MD
• Kara L Van Buskirk, MC, LPC
• Karen M Van Cader

• Eyewear Supplier in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Eyewear Supplier in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2017; 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.