Individual provider Active NPI

Alexis Diane Romero, OD

  • Optometrist
  • Tucson, AZ
National Provider Identifier
1871126656
Registry record updated Feb 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT-002414 Issued in AZ
Practice address
4413 E Broadway Blvd
Tucson, AZ 85711-3507
Phone
(520) 322-2713
Fax
(520) 325-8300
NPI assigned
Feb 19, 2020
Last updated
Feb 19, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT-002414 AZ Primary

Addresses

Primary practice location

4413 E Broadway Blvd
Tucson, AZ 85711-3507

Mailing address

3077 E 15TH St
Douglas, AZ 85607-2607
Phone (520) 234-3138

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
I20200727000581 AZ Practitioner - Optometry 4789000324 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Douglas Primary Eye Care PCGroup PAC ID 4082808340, 3 clinicians

Practice addresses (Care Compare)

1303 E University Blvd
Tucson, AZ 85719-0521
Phone (520) 621-3253

4413 E Broadway Blvd
Tucson, AZ 85711-3507

6843 N Oracle Rd
Suite 151
Tucson, AZ 85704-4281
Phone (520) 888-0099

7041 E Tanque Verde Rd
Tucson, AZ 85715-5311
Phone (520) 298-3028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT-002414AZMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Washington, PLLC Optometrist CurrentSince Sep 15, 2024 Accepting new patients
Myeyedr Optometry of Washington, PLLC Optometrist CurrentSince Sep 8, 2025 Accepting new patients
Myeyedr Optometry of Washington, PLLC Optometrist CurrentSince Sep 8, 2025 Accepting new patients

Locations

3170 W Carefree Hwy
Ste 3
Phoenix, AZ 85086
Phone (623) 444-2425

1303 E University Blvd
Tucson, AZ 85719
Phone (520) 621-3253

1303 E University Blvd
#241
Tucson, AZ 85719
Phone (520) 621-3253

4413 E Broadway Blvd
Tucson, AZ 85711
Phone (520) 322-2713

6843 N Oracle Rd
Ste 151
Tucson, AZ 85704
Phone (520) 888-0099

7041 E Tanque Verde Rd
Tucson, AZ 85715
Phone (520) 298-3028

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 4

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": "1582070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1871126656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3077 E 15TH ST",
            "city": "DOUGLAS",
            "state": "AZ",
            "postal_code": "856072607",
            "telephone_number": "520-234-3138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4413 E BROADWAY BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857113507",
            "telephone_number": "520-322-2713",
            "fax_number": "520-325-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMERO",
        "first_name": "ALEXIS",
        "middle_name": "DIANE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-19",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-002414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.