Yavapai Advanced Vision Center PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1604 Issued in AZ

Legal business name

YAVAPAI ADVANCED VISION CENTER PLLC

Practice address

1727 Willow Creek Rd
Prescott, AZ 86301-1154

Phone

(928) 717-3259

Fax

(928) 778-1023

NPI assigned

Jul 27, 2010

Last updated

May 5, 2024By 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

Dr. Monica R Stotler, ODNPI 1144400599

Title

Owner

Phone

(928) 717-3259

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 1

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.

• Monica Rae Stotler, O.D.

  • Optometrist
  • Prescott, AZ
  • NPI 1144400599
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714867200000",
    "number": "1760796270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1727 WILLOW CREEK RD",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011154",
            "telephone_number": "928-717-3259",
            "fax_number": "928-778-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1727 WILLOW CREEK RD",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011154",
            "telephone_number": "928-717-3259",
            "fax_number": "928-778-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAVAPAI ADVANCED VISION CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-27",
        "last_updated": "2024-05-05",
        "certification_date": "2024-05-05",
        "status": "A",
        "authorized_official_last_name": "STOTLER",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-717-3259",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Beth Wrabetz, PH.D.
• Bonnie T Wright-Robinson, LPC
• Aaron Michael Wulff, D.M.D.
• Paul Juan Wulff, D.M.D.
• Karen L Yates, M.D.
• Yavapai Care Services, LLC (Helping Hands In Home Care)
• Yavapai Community Hospital Association (Yavapai Regional Medical Center General Surgery)
• Yavapai Community Hospital Association (Yavapai Regional Medical Center)
• Yavapai County Community Health Services
• Yavapai County Community Health Services

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2024; 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.