Douglas Primary Eye Care PC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

DOUGLAS PRIMARY EYE CARE PC

Practice address

549 E 10TH St
Douglas, AZ 85607-2009

Phone

(520) 364-3892

Fax

(520) 805-4427

NPI assigned

Jun 23, 2010

Last updated

Nov 24, 2025By 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

Katrina Anne Nichols, ODNPI 1093773285

Title

Owner

Phone

(520) 364-3892

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

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.

• Katrina Anne Nichols, OD

  • Optometrist
  • Douglas, AZ
  • NPI 1093773285
  Medicare reassignment Care Compare group Authorized official
• Alexis Diane Romero, OD

  • Optometrist
  • Tucson, AZ
  • NPI 1871126656
  Medicare reassignment Care Compare group
• Cheryl E Schmitt, O.D.

  • Optometrist
  • Douglas, AZ
  • NPI 1255306981
  Medicare reassignment Care Compare group
• Stephen S Richman, O.D.

  • Optometrist
  • Tucson, AZ
  • NPI 1851383277
  NPD (past)

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

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763942400000",
    "number": "1750692877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "549 E 10TH ST",
            "city": "DOUGLAS",
            "state": "AZ",
            "postal_code": "856072009",
            "telephone_number": "520-364-3892",
            "fax_number": "520-805-4427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "549 E 10TH ST",
            "city": "DOUGLAS",
            "state": "AZ",
            "postal_code": "856072009",
            "telephone_number": "520-364-3892",
            "fax_number": "520-805-4427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS PRIMARY EYE CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-23",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-364-3892",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas Community Hospital, Inc. (Cochise Regional Hospital)
• Douglas Dental, LLC
• Douglas Family Care PLLC
• Douglas Pharmacy LLC (Douglas Health Mart Pharmacy)
• Douglas Pharmacy, LLC
• Douglas Unified School District
• Douglas Unified School District
• Douglas Unified School District #27
• Ricardo Duarte, FNP
• Gustavo Durazo Jr., DNP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; 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.