Active NPI
Tammy Lavicka, O.D.
- Optometrist
- Phoenix, AZ
National Provider Identifier
1730321431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1671
- Practice address
- 6815 N 19TH Ave
Suite 130
Phoenix, AZ 85015-1134 - Phone
- (602) 242-5293
- NPI assigned
- Mar 27, 2009
- Last updated
- May 5, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1671 | AZ | Primary |
Addresses
Primary practice location
6815 N 19TH Ave
Suite 130
Phoenix, AZ 85015-1134
Mailing address
6815 N 19TH Ave
Suite 130
Phoenix, AZ 85015-1134
Phone (602) 242-5293
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1671 | AZ | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nationwide Optometry P.C. | Optometrist | Past | Accepting new patients |
| Tom Sowash OD & Associates PC | Optometrist | Past | Accepting new patients |
| Visionworks Inc | Past | Accepting new patients |
Organizations & group practices 3
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": "1238112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399248000000",
"number": "1730321431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6815 N 19TH AVE",
"address_2": "SUITE 130",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850151134",
"telephone_number": "602-242-5293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6815 N 19TH AVE",
"address_2": "SUITE 130",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850151134",
"telephone_number": "602-242-5293"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAVICKA",
"first_name": "TAMMY",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-27",
"last_updated": "2014-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AZ",
"license": "1671",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.