Alvernon Optical, Inc.

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

831 Issued in AZ

Legal business name

ALVERNON OPTICAL, INC.

Practice address

2894 N Campbell Ave
Tucson, AZ 85719-2876

Phone

(520) 323-3937

Fax

(520) 323-3938

NPI assigned

Mar 23, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stacia A Decker, LDO

Title

VP of Retail

Phone

(520) 327-6215

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Tetrault, OD

  • Optometrist
  • Tucson, AZ
  • NPI 1114038692
  NPD (past)

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730206004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2894 N CAMPBELL AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857192876",
            "telephone_number": "520-323-3937",
            "fax_number": "520-323-3938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2894 N CAMPBELL AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857192876",
            "telephone_number": "520-323-3937",
            "fax_number": "520-323-3938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALVERNON OPTICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DECKER",
        "authorized_official_first_name": "STACIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VP OF RETAIL",
        "authorized_official_telephone_number": "520-327-6215",
        "authorized_official_credential": "LDO"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "AZ",
            "license": "831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "406175",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0328860005",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn Alver, PHARM.D.
• Alvernon Allergy and Asthma, P.C.
• Alvernon Optical, Inc.
• Alvernon Optical, Inc. (Casas Adobes Optical, Inc.)
• Alvernon Optical, Inc.
• Alvernon Optical, Inc.
• Jennifer Alvidrez, RN
• Luisa Minerva Alviso
• Ruwani Alwis, MBBS
• Ramez Alzatari, DO

• Eyewear Supplier in Tucson, AZ
• Providers in Tucson, 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 22, 2020; 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.