Individual provider Active NPI

David James Fairley, O.D.

  • Optometrist
  • Tucson, AZ
National Provider Identifier
1730202144
Registry record updated Dec 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1384 Issued in AZ
Practice address
1650 E Tucson Marketplace Blvd
Tucson, AZ 85713
Phone
(520) 791-7355
NPI assigned
Apr 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1384 AZ Primary

Addresses

Primary practice location

1650 E Tucson Marketplace Blvd
Tucson, AZ 85713

Mailing address

1650 E Tucson Marketplace Blvd
Tucson, AZ 85713
Phone (520) 791-7355

Other identifiers 1

IdentifierTypeStateIssuer
Z148171OtherAZMEDICARE PTAN

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
I20111013000194 AZ Practitioner - Optometry 3577735604 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwestern Eye Center LTDGroup PAC ID 1850296989, 116 clinicians
Barnet Dulaney Perkins Eye Center, PCGroup PAC ID 0749288298, 104 clinicians

Practice addresses (Care Compare)

3223 N Windsong Dr
Prescott Valley, AZ 86314-1222
Phone (928) 775-6121

40 Capri Blvd
Suite 102
Lake Havasu City, AZ 86403-5661
Phone (928) 855-9477

Merit-based Incentive Payment System (MIPS)

Final score
83.86 of 100Reported as group
Quality
81.82
Promoting interoperability
100
Improvement activities
40
Cost
64.4

Merit-based Incentive Payment System (MIPS)

Final score
88.66 of 100Reported as group
Quality
84.9
Promoting interoperability
100
Improvement activities
40
Cost
77.31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Barnet Dulaney Perkins Eye Center, PC CurrentSince Aug 7, 2023 Accepting new patients
Southwestern Eye Center, LTD Optometrist CurrentSince Aug 7, 2023 Accepting new patients
Barnet Dulaney Perkins Eye Center, PC CurrentSince Aug 7, 2023 Accepting new patients
Southwestern Eye Center LTD CurrentSince Aug 7, 2023 Accepting new patients
Barnet Dulaney Perkins Eye Center, PC Current Accepting new patients
Southwestern Eye Center LTD Past Accepting new patients
Barnet Dulaney Perkins Eye Center, PC Past Accepting new patients
Barnet Dulaney Perkins Eye Center, PC Past Accepting new patients

Locations

3003 Highway 95
Ste 63
Bullhead City, AZ 86442
Phone (928) 763-7555

270 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-4202

1151 S La Canada Dr
Ste 200
Green Valley, AZ 85614
Phone (520) 625-8562

40 Capri Blvd
Ste 102
Lk Havasu Cty, AZ 86403
Phone (520) 758-2020

383 Lake Havasu Ave S
Lk Havasu Cty, AZ 86403
Phone (928) 680-1144

4760 E Falcon Dr
Ste 101
Mesa, AZ 85215
Phone (480) 985-7400

4800 N 22nd St
Ste 200
Phoenix, AZ 85016

4800 N 22nd St
Ste 120
Phoenix, AZ 85016

3223 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 772-1510

825 S 20th Ave
Safford, AZ 85546
Phone (928) 428-6930

2370 W State Route 89A
Ste 16A17A18
Sedona, AZ 86336
Phone (928) 282-1231

63 S Rockford Dr
Ste 220
Tempe, AZ 85288

5632 E 5th St
Tucson, AZ 85711
Phone (520) 584-8888

698 E Wetmore Rd
Ste 100
Tucson, AZ 85705
Phone (520) 690-5707

2149 W 24th St
Yuma, AZ 85364
Phone (928) 726-1100

11551 S Fortuna Rd
Ste E
Yuma, AZ 85367
Phone (928) 503-7057

2149 W 24th St
Ste 1
Yuma, AZ 85364
Phone (928) 726-4120

275 W 28th St
Yuma, AZ 85364
Phone (928) 329-5011

Interoperability endpoints

  • Direct secure messaging: david.fairley.p11@direct.avp.nextgenshare.com
  • Direct secure messaging: david.fairley.p20@direct.avp.nextgenshare.com

Organizations & group practices 8

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": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323993600000",
    "number": "1730202144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 E TUCSON MARKETPLACE BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85713",
            "telephone_number": "520-791-7355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 E TUCSON MARKETPLACE BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85713",
            "telephone_number": "520-791-7355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIRLEY",
        "first_name": "DAVID",
        "middle_name": "JAMES",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-09",
        "last_updated": "2011-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "Z148171",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.