Active NPI
San Tan Village Eye Care LLC
- Optometrist
- Gilbert, AZ
National Provider Identifier
1760678320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- AZ1515
- Legal business name
- SAN TAN VILLAGE EYE CARE LLC
- Practice address
- 2174 E Williams Field Rd
Ste 124
Gilbert, AZ 85295-0745 - Phone
- (480) 786-9845
- Fax
- (480) 786-9843
- NPI assigned
- Sep 18, 2007
- Last updated
- Dec 30, 2010
- 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
- Dr. Steven L. Labroff, O.D.
- Title
- Owner/Optometrist
- Phone
- (480) 786-9845
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 | AZ1515 | AZ | Primary |
Addresses
Primary practice location
2174 E Williams Field Rd
Ste 124
Gilbert, AZ 85295-0745
Mailing address
2174 E Williams Field Rd
Ste 124
Gilbert, AZ 85295-0745
Phone (480) 786-9845
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
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.
-
- Optometrist
- Gilbert, AZ
- NPI 1023100963
-
- Optometrist
- Mesa, AZ
- NPI 1154374684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190073600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1293667200000",
"number": "1760678320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2174 E WILLIAMS FIELD RD",
"address_2": "STE 124",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852950745",
"telephone_number": "480-786-9845",
"fax_number": "480-786-9843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2174 E WILLIAMS FIELD RD",
"address_2": "STE 124",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852950745",
"telephone_number": "480-786-9845",
"fax_number": "480-786-9843"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAN TAN VILLAGE EYE CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-18",
"last_updated": "2010-12-30",
"status": "A",
"authorized_official_last_name": "LABROFF",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "OWNER/OPTOMETRIST",
"authorized_official_telephone_number": "480-786-9845",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AZ",
"license": "AZ1515",
"primary": true
}
],
"identifiers": [],
"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 Dec 30, 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.