Individual provider Active NPI

Curtis Philip Dechant, O.D.

  • Optometrist
  • Tucson, AZ
National Provider Identifier
1770546392
Registry record updated Mar 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1175 Issued in AZ
Practice address
7475 E Tanque Verde Rd
Tucson, AZ 85715-3477
Phone
(520) 663-5393
Fax
(520) 663-1023
NPI assigned
Apr 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1175 AZ Primary

Addresses

Primary practice location

7475 E Tanque Verde Rd
Tucson, AZ 85715-3477

Mailing address

7475 E Tanque Verde Rd
Tucson, AZ 85715-3477
Phone (520) 663-5393

Other identifiers 1

IdentifierTypeStateIssuer
832297MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040428000431 AZ Practitioner - Optometry 5193712701 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
John H McDougall OD Arizona PCGroup PAC ID 3274880117, 44 clinicians

Practice addresses (Care Compare)

7475 E Tanque Verde Rd
Tucson, AZ 85715-3477
Phone (520) 663-5393

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1175AZMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
John H McDougall OD Arizona PC Optometrist CurrentSince Jun 7, 2021 Accepting new patients
Family Vision Source, LLC Optometrist CurrentSince Mar 1, 2004 Accepting new patients
Vision Care Associates, LLP Optometrist Past Accepting new patients

Locations

13125 N La Montana Dr
Ste 1
Fountain Hls, AZ 85268
Phone (480) 816-0102

7074 E Speedway Blvd
Tucson, AZ 85710
Phone (520) 290-9870

6615 N Oracle Rd
Tucson, AZ 85704
Phone (520) 797-8000

7475 E Tanque Verde Rd
Tucson, AZ 85715
Phone (520) 663-5373

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267660800000",
    "number": "1770546392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7475 E TANQUE VERDE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857153477",
            "telephone_number": "520-663-5393",
            "fax_number": "520-663-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7475 E TANQUE VERDE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857153477",
            "telephone_number": "520-663-5393",
            "fax_number": "520-663-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECHANT",
        "first_name": "CURTIS",
        "middle_name": "PHILIP",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2010-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "832297",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.