Active NPI
Unknown Siena, O.D.
- Optometrist
- Show Low, AZ
National Provider Identifier
1831262096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 866
- Practice address
- 5401 S White Mountain Rd
Show Low, AZ 85901-7849 - Phone
- (928) 532-1547
- Fax
- (928) 532-1549
- NPI assigned
- Nov 16, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 866 | AZ | Primary |
Addresses
Primary practice location
5401 S White Mountain Rd
Show Low, AZ 85901-7849
Mailing address
642 E Tremaine Ave
Gilbert, AZ 85234-4602
Phone (480) 220-4571
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267142400000",
"number": "1831262096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "642 E TREMAINE AVE",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852344602",
"telephone_number": "480-220-4571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5401 S WHITE MOUNTAIN RD",
"city": "SHOW LOW",
"state": "AZ",
"postal_code": "859017849",
"telephone_number": "928-532-1547",
"fax_number": "928-532-1549"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIENA",
"first_name": "UNKNOWN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-16",
"last_updated": "2010-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AZ",
"license": "866",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Show Low, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.