Active NPI
Western Medical Eye Center, LLC
- Specialist
- Bullhead City, AZ
National Provider Identifier
1760664825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- WESTERN MEDICAL EYE CENTER, LLC
- Practice address
- 1800 Highway 95
Bullhead City, AZ 86442-6803 - Phone
- (928) 763-4333
- NPI assigned
- Nov 30, 2007
- 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
- Mrs. Susan N Glesmann
- Title
- Vice President
- Phone
- (928) 763-8443
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
1800 Highway 95
Bullhead City, AZ 86442-6803
Mailing address
1800 Highway 95
Bullhead City, AZ 86442-6803
Phone (928) 763-4333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1800 Highway 95
#2
Bullhead City, AZ 86442
3953 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-3330
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Bullhead City, AZ
- NPI 1467418194
-
- Ophthalmology Physician
- Bullhead City, AZ
- NPI 1770549222
-
- Optometrist
- Bullhead City, AZ
- NPI 1912922378
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196380800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1291248000000",
"number": "1760664825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 HIGHWAY 95",
"city": "BULLHEAD CITY",
"state": "AZ",
"postal_code": "864426803",
"telephone_number": "928-763-4333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 HIGHWAY 95",
"city": "BULLHEAD CITY",
"state": "AZ",
"postal_code": "864426803",
"telephone_number": "928-763-4333"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTERN MEDICAL EYE CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-30",
"last_updated": "2010-12-02",
"status": "A",
"authorized_official_last_name": "GLESMANN",
"authorized_official_first_name": "SUSAN",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "928-763-8443",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bullhead City, AZ
- Westcare Arizona I, Inc.
- Westcare Arizona I, Inc.
- Westcare Arizona I, Inc.
- Western Arizona Regional Home Health and Hospice, LLC
- Western Medical Eye Center
- Western Mountain Medical Center, PC
- Stephen Vinh Whipp, MD
- Mark William White, DDS
- Kathleen Louise Whitehead, LPC
- Wide Open MRI of Bullhead City LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.