Envision Eyecare Center

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

ENVISION EYECARE CENTER

Practice address

525 W Wetmore Rd
Tucson, AZ 85705-5093

Phone

(520) 293-2363

Fax

(520) 293-0475

NPI assigned

Jan 4, 2021

Last updated

Jan 4, 2021By 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

Dr. Adam McDonald, ODNPI 1003299538

Title

Ceo

Phone

(520) 293-2363

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

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.

• Adam McDonald, O.D.

  • Optometrist
  • Tucson, AZ
  • NPI 1003299538
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609718400000",
    "number": "1730777004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 W WETMORE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857055093",
            "telephone_number": "520-293-2363",
            "fax_number": "520-293-0475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 W WETMORE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857055093",
            "telephone_number": "520-293-2363",
            "fax_number": "520-293-0475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISION EYECARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-04",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "520-293-2363",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "envisioneyecarecenter",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "525 W Wetmore Rd",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857055093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nicolas Enriquez, M.D.
• Rosa 'Susie' Enriquez
• Ensign Sabino LLC (Sabino Canyon Rehabilitation and Care Center)
• Eric Wayne Ensign
• Entune Behavioral Health LLC
• Envision Eyecare Center PC
• Envision Wellness LLC
• Envolve Peoplecare, Inc.
• Sarah J Enz, MD
• Epidaurus (Amity Foundation)

• Optometrist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.