Prescott Eye Care & Surgical Center, PC

Primary specialty

Ophthalmic Technician/TechnologistTaxonomy code 156FX1100X

Legal business name

PRESCOTT EYE CARE & SURGICAL CENTER, PC

Practice address

3769 Crossing Drive
Prescott, AZ 86305-1606

Phone

(928) 445-9200

Fax

(928) 772-8107

NPI assigned

Oct 1, 2008

Organization subpart

No

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

Authorized official

Name

Steven W. Mortenson, MD

Title

Ceo

Phone

(928) 445-9200

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1222819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464048000000",
    "number": "1740431378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3192 WILLOW CREEK RD",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863016610",
            "telephone_number": "928-445-1234",
            "fax_number": "928-772-8107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3769 CROSSING DRIVE",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863051606",
            "telephone_number": "928-445-9200",
            "fax_number": "928-772-8107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESCOTT EYE CARE & SURGICAL CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-01",
        "last_updated": "2016-05-24",
        "status": "A",
        "authorized_official_last_name": "MORTENSON",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "928-445-9200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "156FX1100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Ophthalmic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmic Technician/Technologist in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Ophthalmic Technician/Technologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; 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.