Allan M. Anhalt

Primary specialty

OcularistTaxonomy code 156FX1700X

Legal business name

ALLAN M. ANHALT

Doing business as

Personaleyes Prosthetics

Practice address

2122 N Craycroft Rd
Suite 118
Tucson, AZ 85712-2849

Phone

(520) 325-3121

Fax

(602) 258-1593

NPI assigned

Mar 6, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Allan Michael Anhalt, B.C.O.

Title

Owner

Phone

(602) 258-3620

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Personaleyes Prosthetics Doing business as

Locations

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

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358208000000",
    "number": "1730359688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 E VIRGINIA AVE",
            "address_2": "SUITE 105",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041206",
            "telephone_number": "602-258-3620",
            "fax_number": "602-258-1593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2122 N CRAYCROFT RD",
            "address_2": "SUITE 118",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122849",
            "telephone_number": "520-325-3121",
            "fax_number": "602-258-1593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLAN M. ANHALT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-06",
        "last_updated": "2013-01-15",
        "status": "A",
        "authorized_official_last_name": "ANHALT",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-258-3620",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "B.C.O."
    },
    "taxonomies": [
        {
            "code": "156FX1700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Ocularist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "351487",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Personaleyes Prosthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Technician/Technologist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Technician/Technologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; 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.