Active NPI
Seville Eye Center LLC
- Optometrist
- Gilbert, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- AZ01104
- Legal business name
- SEVILLE EYE CENTER LLC
- Practice address
- 3336 E Chandler Heights Rd
BLDG a Ste 104
Gilbert, AZ 85298-4259 - Phone
- (480) 279-3937
- Fax
- (480) 889-2948
- NPI assigned
- Nov 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christopher C Carpenter, O.D.
- Title
- Optometrist
- Phone
- (480) 279-3937
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | AZ01104 | AZ | Primary |
Addresses
Primary practice location
3336 E Chandler Heights Rd
BLDG a Ste 104
Gilbert, AZ 85298-4259
Mailing address
3336 E Chandler Heights Rd
BLDG a Ste 104
Gilbert, AZ 85298-4259
Phone (480) 279-3937
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 539570 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3336 E Chandler Heights Rd
Ste 101
Gilbert, AZ 85298
Phone (480) 412-5900
3336 E Chandler Heights Rd
#A104
Gilbert, AZ 85298
3336 E Chandler Heights Rd
Ste 104
Gilbert, AZ 85298
Phone (480) 279-3937
3336 E Chandler Heights Rd
Ste A101
Gilbert, AZ 85298
Phone (480) 279-3937
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Chandler, AZ
- NPI 1538132311
-
- Optometrist
- Gilbert, AZ
- NPI 1467430397
-
- Optometrist
- Gilbert, AZ
- NPI 1861446510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1274054400000",
"number": "1750455234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3336 E CHANDLER HEIGHTS RD",
"address_2": "BLDG A STE 104",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852984259",
"telephone_number": "480-279-3937",
"fax_number": "480-889-2948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3336 E CHANDLER HEIGHTS RD",
"address_2": "BLDG A STE 104",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852984259",
"telephone_number": "480-279-3937",
"fax_number": "480-889-2948"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEVILLE EYE CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-17",
"last_updated": "2010-05-17",
"status": "A",
"authorized_official_last_name": "CARPENTER",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "480-279-3937",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "AZ",
"license": "AZ01104",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "539570",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.