Active NPI
Fabrizio Ruggiero
- Optician
- Gilbert, AZ
National Provider Identifier
1811205180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 1012I
- Practice address
- 2168 E Williams Field Rd
Suite 108
Gilbert, AZ 85295-0741 - Phone
- (480) 899-9970
- NPI assigned
- Sep 20, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 1012I | AZ | Primary |
Addresses
Primary practice location
2168 E Williams Field Rd
Suite 108
Gilbert, AZ 85295-0741
Mailing address
5816 E Joshua Tree LN
Paradise Valley, AZ 85253-3446
Phone (480) 209-8879
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1012I | AZ | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284940800000",
"number": "1811205180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5816 E JOSHUA TREE LN",
"city": "PARADISE VALLEY",
"state": "AZ",
"postal_code": "852533446",
"telephone_number": "480-209-8879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2168 E WILLIAMS FIELD RD",
"address_2": "SUITE 108",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852950741",
"telephone_number": "480-899-9970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUGGIERO",
"first_name": "FABRIZIO",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-09-20",
"last_updated": "2010-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "AZ",
"license": "1012I",
"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 Sep 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.