Northwest Eye Specialists L L C

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

Z3C0001059 Issued in AZ

Legal business name

NORTHWEST EYE SPECIALISTS L L C

Practice address

5599 N Oracle Rd
Tucson, AZ 85704-3821

Phone

(520) 293-6740

Fax

(520) 293-6771

NPI assigned

Jan 30, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Lydia Lansberry

Title

Practice Administrator

Phone

(520) 293-6740

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Northwest Eye Specialists L L C

  • Ophthalmology Physician
  • Tucson, AZ
  • NPI 1356488175

  3971588823

  Same PAC ID

Listed as

Northwest Eye SpecialistsllcCCN 03C0001059

Medicare certification status

ActiveFrom the Provider of Services file

Tax ID family

Northwest Eye Specialists L L C2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Northwest Eye Specialists L L C

  • Ophthalmology Physician
  • Tucson, AZ
  • NPI 1356488175
  NPD tax ID

Locations

Practitioners 9

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.

• Brian E Mulkerin, MD

  • Anesthesiology Physician
  • Flagstaff, AZ
  • NPI 1528052560
  Medicare reassignment NPD
• Michael F Marks, CRNA

  • Certified Registered Nurse Anesthetist
  • Duluth, MN
  • NPI 1134224215

  AZ

  Medicare reassignment NPD
• Lauren Kanemi Evans, O.D.

  • Optometrist
  • Tucson, AZ
  • NPI 1144451741
  NPD (past)
• Michael Henry, M.D.

  • Ophthalmology Physician
  • Tucson, AZ
  • NPI 1346694163
  NPD (past)
• Brian A. Hunter, M.D.

  • Ophthalmology Physician
  • Tucson, AZ
  • NPI 1528264793
  NPD (past)
• Andrew Albert Huttenhoff, O.D.

  • Corneal and Contact Management Optometrist
  • Tucson, AZ
  • NPI 1992718662
  NPD (past)
• Richard Lewis, M.D.

  • Ophthalmology Physician
  • Tucson, AZ
  • NPI 1952570889
  NPD (past)
• Jeffrey S Maltzman, M.D.

  • Ophthalmology Physician
  • Tucson, AZ
  • NPI 1477690535
  NPD (past)
• Tatyana Sherman, D.O.

  • Ophthalmology Physician
  • Tucson, AZ
  • NPI 1942736756
  NPD (past)

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735171200000",
    "number": "1790822864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5599 N ORACLE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857043821",
            "telephone_number": "520-293-6740",
            "fax_number": "520-293-6771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5599 N ORACLE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857043821",
            "telephone_number": "520-293-6740",
            "fax_number": "520-293-6771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST EYE SPECIALISTS L L C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A",
        "authorized_official_last_name": "LANSBERRY",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "520-293-6740",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "AZ",
            "license": "Z3C0001059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Northwest Diabetes Lifeskills Center
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• Northwest Fire District
• Northwest Foothills Inc.
• Northwest HBP Medical Services LLC
• Northwest HBP Medical Services LLC

• Ambulatory Surgical Clinic/Center in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Ambulatory Surgical Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.