Organization Active NPI

Pima Eye Institute PC

  • Ophthalmology Physician
  • Tucson, AZ
National Provider Identifier
1740351253
Registry record updated Dec 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
PIMA EYE INSTITUTE PC
Practice address
7396 N la Cholla Blvd
Tucson, AZ 85741-2305
Phone
(520) 229-1554
Fax
(520) 229-1702
NPI assigned
Nov 13, 2006
Last updated
Dec 20, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2010

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

Authorized official

Name
Dr. Ajay Sanan, M.D.NPI 1295799369
Title
President
Phone
(520) 229-1554

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

7396 N la Cholla Blvd
Tucson, AZ 85741-2305

Mailing address

7396 N la Cholla Blvd
Tucson, AZ 85741-2305
Phone (520) 229-1554

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040621001773 AZ Part B Supplier - Clinic/Group Practice 5496730780 Receives reassigned benefits from 4 practitioners
Practice locations: Oro Valley, AZ; Tucson, AZ

National Provider Directory

National Provider Directory

Locations

1884 E Innovation Park Dr
Oro Valley, AZ 85755
Phone (520) 229-1554

7396 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-1554

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292803200000",
    "number": "1740351253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7396 N LA CHOLLA BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857412305",
            "telephone_number": "520-229-1554",
            "fax_number": "520-229-1702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7396 N LA CHOLLA BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857412305",
            "telephone_number": "520-229-1554",
            "fax_number": "520-229-1702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIMA EYE INSTITUTE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2010-12-20",
        "status": "A",
        "authorized_official_last_name": "SANAN",
        "authorized_official_first_name": "AJAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-229-1554",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2010; 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.