Organization Active NPI

CL Eye Care, PLLC

  • Optometrist
  • Sun City, AZ
National Provider Identifier
1912149998
Registry record updated Apr 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1437 Issued in AZ
Legal business name
CL EYE CARE, PLLC
Practice address
10615 W Thunderbird Blvd
Suite D-500
Sun City, AZ 85351-3033
Phone
(602) 910-0069
NPI assigned
Apr 6, 2009
Last updated
Apr 6, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2009

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

Authorized official

Name
Dr. Christopher P. Marmo, O.D.NPI 1932197506
Title
C.E.O.
Phone
(602) 910-0069

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
Optometrist 152W00000X 1437 AZ Primary

Addresses

Primary practice location

10615 W Thunderbird Blvd
Suite D-500
Sun City, AZ 85351-3033

Mailing address

1104 W Lydia LN
Phoenix, AZ 85041-5924
Phone (602) 910-0069

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090629000498 AZ Part B Supplier - Clinic/Group Practice 5092866285 Receives reassigned benefits from 1 practitioner
Practice locations: Peoria, AZ; Phoenix, AZ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238976000000",
    "number": "1912149998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 W LYDIA LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850415924",
            "telephone_number": "602-910-0069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10615 W THUNDERBIRD BLVD",
            "address_2": "SUITE D-500",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513033",
            "telephone_number": "602-910-0069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CL EYE CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-06",
        "last_updated": "2009-04-06",
        "status": "A",
        "authorized_official_last_name": "MARMO",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "602-910-0069",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2009; 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.

Verify at the official NPI Registry.