Active NPI
Jennifer Valente Caywood OD LTD
- Health Service Clinic/Center
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- JENNIFER VALENTE CAYWOOD OD LTD
- Practice address
- 2312 N Rosemont Blvd Ste 103
Tucson, AZ 85712-6114 - Phone
- (520) 261-2563
- Fax
- (520) 263-1269
- NPI assigned
- Jun 9, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Valente Caywood, OD
- Title
- Optometrist
- Phone
- (520) 820-8176
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | Primary |
Addresses
Primary practice location
2312 N Rosemont Blvd Ste 103
Tucson, AZ 85712-6114
Mailing address
10269 E Gray Hawk Dr
Tucson, AZ 85730-6115
Phone (520) 820-8176
Other practice location 1
4340 W Ina Rd
Tucson, AZ 85741-2232
Phone (520) 261-2563
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 965808 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3615 N Prince Village Pl
Ste 101
Tucson, AZ 85719
7402 E Broadway Blvd
Tucson, AZ 85710
Phone (520) 261-2563
1607 N Wilmot Rd
Ste 101D
Tucson, AZ 85712
Phone (520) 261-2563
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Tucson, AZ
- NPI 1649267055
-
- Optometrist
- Tucson, AZ
- NPI 1194883413
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591660800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1607299200000",
"number": "1881219491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10269 E GRAY HAWK DR",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857306115",
"telephone_number": "520-820-8176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2312 N ROSEMONT BLVD STE 103",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857126114",
"telephone_number": "520-261-2563",
"fax_number": "520-263-1269"
}
],
"practiceLocations": [
{
"address_1": "4340 W Ina Rd",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857412232",
"country_code": "US",
"telephone_number": "520-261-2563",
"fax_number": "520-263-1269",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "JENNIFER VALENTE CAYWOOD OD LTD",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-09",
"last_updated": "2020-12-07",
"certification_date": "2020-12-07",
"status": "A",
"authorized_official_last_name": "VALENTE CAYWOOD",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "520-820-8176",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "965808",
"state": "AZ"
}
],
"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 Dec 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.