Healthy Eyes PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1618 Issued in AZ

Legal business name

HEALTHY EYES PLLC

Practice address

4568 E Cactus Rd
Phoenix, AZ 85032-7702

Phone

(623) 224-7001

NPI assigned

Jan 6, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Durga Yerramilli, OD

Title

Owner

Phone

(623) 224-7001

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1294272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294272000000",
    "number": "1750685657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16110 W HUALAPAI ST",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853387941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4568 E CACTUS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850327702",
            "telephone_number": "623-224-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY EYES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-06",
        "last_updated": "2011-01-06",
        "status": "A",
        "authorized_official_last_name": "YERRAMILLI",
        "authorized_official_first_name": "DURGA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-224-7001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Healthsignal Partners, LLC
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• Healthy Eyes LLC
• Healthy Families Clinic
• Healthy Habits Therapy, LLC
• Healthy Life Corporation
• Healthy Life Corporation
• Healthy Living at Home - Arizona LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2011; 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.