Individual provider Active NPI

Laura Gudenkauf, O.D.

  • Optometrist
  • Tucson, AZ
National Provider Identifier
1811302680
Registry record updated Jun 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2002 Issued in AZ
Practice address
6615 N Oracle Rd
Tucson, AZ 85704-5644
Phone
(520) 797-8000
NPI assigned
Jun 30, 2014
Last updated
Jun 30, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2002 AZ Primary

Addresses

Primary practice location

6615 N Oracle Rd
Tucson, AZ 85704-5644

Mailing address

6615 N Oracle Rd
Tucson, AZ 85704-5644
Phone (520) 797-8000

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
I20141008002240 AZ Practitioner - Optometry 6901026277 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Havasu Family Eyecare LLCGroup PAC ID 0749220051, 10 clinicians

Practice addresses (Care Compare)

7552 N Lacholla Blvd
Tucson, AZ 85741
Phone (520) 744-1711

Merit-based Incentive Payment System (MIPS)

Final score
82.83 of 100Reported as group
Quality
65.65
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2002AZMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Havasu Family Eyecare, LLC Optometrist CurrentSince Oct 1, 2024 Accepting new patients
John H McDougall OD Arizona PC Optometrist CurrentSince Dec 14, 2019 Accepting new patients

Locations

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

2277 Swanson Ave
Ste 100
Lk Havasu Cty, AZ 86403
Phone (928) 706-9991

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

1200 E Campbell Rd
Ste 108
Richardson, TX 75081
Phone (972) 370-5552

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1404086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404086400000",
    "number": "1811302680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6615 N ORACLE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857045644",
            "telephone_number": "520-797-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6615 N ORACLE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857045644",
            "telephone_number": "520-797-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUDENKAUF",
        "first_name": "LAURA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-30",
        "last_updated": "2014-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "2002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.