Nancy De la Vara

Primary specialty

OpticianTaxonomy code 156FX1800X

License

2571I Issued in AZ

Practice address

725 E. Main St.
Suite 1C
Somerton, AZ 85350-0634

Phone

(928) 627-4525

NPI assigned

Jan 3, 2011

Last updated

Aug 14, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Somerton Eyecare Center Inc

  • Optometrist
  • Somerton, AZ
  • NPI 1306981386
  NPD Authorized official

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

{
    "created_epoch": "1294012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376438400000",
    "number": "1790089928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 634",
            "city": "SOMERTON",
            "state": "AZ",
            "postal_code": "853500634",
            "telephone_number": "928-627-4525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 E. MAIN ST.",
            "address_2": "SUITE 1C",
            "city": "SOMERTON",
            "state": "AZ",
            "postal_code": "853500634",
            "telephone_number": "928-627-4525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA VARA",
        "first_name": "NANCY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-03",
        "last_updated": "2013-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "AZ",
            "license": "2571I",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• City of Somerton (Somerton EMS)
• William Kyle Connell, DMD
• Rosella Curiel
• Keever Kerion Czlapinski, PH.D
• Leilani Jaylene De la Cruz
• Jesse Vincent Dominguez, O.D.
• Andrea Lynn Eddington, RN
• Catherine Fang, LPC
• Criselda Flores, LPC
• Kimberly Gamboa, NP-C

• Optician in Somerton, AZ
• Providers in Somerton, AZ by specialty
• Optician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.