Active NPI
Funmilayo Aduni Aranmolate, OD
- Optometrist
- Luke Afb, AZ
National Provider Identifier
1851546543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2502
- Practice address
- 56 Medical Group
7219 N Litchfield Road
Luke Afb, AZ 85309-1923 - Phone
- (623) 856-3130
- Fax
- (623) 856-4379
- NPI assigned
- Nov 21, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2502 | GA | Primary |
| Optometrist | 152W00000X | 1540 | SC |
Addresses
Primary practice location
56 Medical Group
7219 N Litchfield Road
Luke Afb, AZ 85309-1923
Mailing address
56 Medical Group
7219 N Litchfield Road
Luke Afb, AZ 85309-1923
Phone (623) 856-3130
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2502 | GA | MD | Optometrist |
| 1540 | SC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314662400000",
"number": "1851546543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "56 MEDICAL GROUP",
"address_2": "7219 N LITCHFIELD ROAD",
"city": "LUKE AFB",
"state": "AZ",
"postal_code": "853091923",
"telephone_number": "623-856-3130",
"fax_number": "623-856-4379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "56 MEDICAL GROUP",
"address_2": "7219 N LITCHFIELD ROAD",
"city": "LUKE AFB",
"state": "AZ",
"postal_code": "853091923",
"telephone_number": "623-856-3130",
"fax_number": "623-856-4379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARANMOLATE",
"first_name": "FUNMILAYO",
"middle_name": "ADUNI",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-21",
"last_updated": "2011-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "2502",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "SC",
"license": "1540",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Luke Afb, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.