Active NPI
Jeffrey S Felter, MD
- Ophthalmology Physician
- Sierra Vista, AZ
National Provider Identifier
1710988522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 19575
- Practice address
- 2445 E Wilcox Dr
Sierra Vista, AZ 85635-2842 - Phone
- (520) 458-8131
- Fax
- (520) 458-0422
- NPI assigned
- Aug 2, 2005
- Last updated
- Jul 7, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 19575 | AZ | Primary |
Addresses
Primary practice location
2445 E Wilcox Dr
Sierra Vista, AZ 85635-2842
Mailing address
2445 E Wilcox Dr
Sierra Vista, AZ 85635-2842
Phone (520) 458-8131
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 297988 | Medicaid | AZ |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19572 | AZ | MD | Professional Counselor |
| 19575 | AZ | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RF Eye PC | Ophthalmology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278460800000",
"number": "1710988522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2445 E WILCOX DR",
"city": "SIERRA VISTA",
"state": "AZ",
"postal_code": "856352842",
"telephone_number": "520-458-8131",
"fax_number": "520-458-0422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2445 E WILCOX DR",
"city": "SIERRA VISTA",
"state": "AZ",
"postal_code": "856352842",
"telephone_number": "520-458-8131",
"fax_number": "520-458-0422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELTER",
"first_name": "JEFFREY",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-02",
"last_updated": "2010-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "AZ",
"license": "19575",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "297988",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sierra Vista, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.