Organization Active NPI

National Eye and Ear of Tucson Inc

  • Optometrist
  • Tucson, AZ
National Provider Identifier
1821175472
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
478 Issued in AZ
Legal business name
NATIONAL EYE AND EAR OF TUCSON INC
Practice address
4540 E Grant Rd
Tucson, AZ 85712-2617
Phone
(520) 795-0553
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kenneth M Gosses, ODNPI 1902907140
Title
Optometrist
Phone
(520) 795-0553

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 478 AZ Primary

Addresses

Primary practice location

4540 E Grant Rd
Tucson, AZ 85712-2617

Mailing address

4540 E Grant Rd
Tucson, AZ 85712-2617
Phone (520) 795-0553

National Provider Directory

National Provider Directory

Locations

4540 E Grant Rd
Tucson, AZ 85712
Phone (520) 323-0022

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821175472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4540 E GRANT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122617",
            "telephone_number": "520-795-0553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4540 E GRANT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122617",
            "telephone_number": "520-795-0553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL EYE AND EAR OF TUCSON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOSSES",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "520-795-0553",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.