Central Arizona Eye Clinic P.C.

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

193588 Issued in AZ

Legal business name

CENTRAL ARIZONA EYE CLINIC P.C.

Practice address

1022 Willow Creek Rd
Suite 200
Prescott, AZ 86301-1607

Phone

(928) 445-4069

Fax

(928) 778-5550

NPI assigned

May 2, 2006

Organization subpart

No

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

Authorized official

Name

Dr. William David Rummel, MD

Title

President/Owner

Phone

(928) 445-1341

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Rummel Optical Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Mark Rummel, MD, PHD

  • Ophthalmology Physician
  • Prescott, AZ
  • NPI 1033167093
  NPD (past)

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470009600000",
    "number": "1720046436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 WILLOW CREEK RD",
            "address_2": "SUITE 200",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011607",
            "telephone_number": "928-445-4069",
            "fax_number": "928-778-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 WILLOW CREEK RD",
            "address_2": "SUITE 200",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011607",
            "telephone_number": "928-445-4069",
            "fax_number": "928-778-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL ARIZONA EYE CLINIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2016-08-01",
        "status": "A",
        "authorized_official_last_name": "RUMMEL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "928-445-1341",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "AZ",
            "license": "193588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "305583",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rummel Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.