Individual provider Active NPI

Theresa M Setlock, OD

  • Optometrist
  • Tucson, AZ
National Provider Identifier
1922081454
Registry record updated Mar 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
753 Issued in AZ
Practice address
6987 N Oracle Rd
Tucson, AZ 85704-4224
Phone
(520) 297-2501
Fax
(520) 297-9496
NPI assigned
Nov 29, 2005
Last updated
Mar 29, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 753 AZ Primary

Addresses

Primary practice location

6987 N Oracle Rd
Tucson, AZ 85704-4224

Mailing address

11080 N Poinsettia Dr
Tucson, AZ 85737-9564
Phone (520) 797-0244

Other identifiers 1

IdentifierTypeStateIssuer
049272MedicaidAZ

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
I20050428000484 AZ Practitioner - Optometry 7618916743 Reassigns benefits to 2 organizations
Practice locations: Tucson, AZ

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nationwide Optometry P.C.Group PAC ID 6901033075, 54 clinicians

Practice addresses (Care Compare)

8812 E Broadway Blvd
NW Vision Ctr
Tucson, AZ 85710-4035
Phone (520) 296-8200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
753AZMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Nationwide Optometry P.C. Optometrist CurrentSince Jul 22, 2022 Accepting new patients
Nationwide Optometry P.C. Optometrist CurrentSince Jul 22, 2022 Accepting new patients
John H McDougall OD Arizona PC Optometrist CurrentSince Dec 14, 2019 Accepting new patients
Nationwide Optometry P.C. Optometrist Past Accepting new patients
Nationwide Optometry P.C. Optometrist Past Accepting new patients
Alvernon Optical, Inc. Past Accepting new patients

Locations (25 of 64)

39508 N Daisy Mountain Dr
Ste 150
Anthem, AZ 85086
Phone (623) 551-6192

95 S Idaho Rd
Ste 170
Apache Junction, AZ 85119
Phone (480) 983-3438

10485 W McDowell Rd
Ste 103
Avondale, AZ 85392
Phone (480) 908-1001

860 S Watson Rd
Ste 107
Buckeye, AZ 85326
Phone (623) 386-8802

2840 Highway 95
Ste 416418
Bullhead City, AZ 86442
Phone (928) 704-1808

1775 E Florence Blvd
Ste 2
Casa Grande, AZ 85122
Phone (520) 426-1600

2050 N Alma School Rd
Ste 14
Chandler, AZ 85224
Phone (480) 786-1075

220 N McKemy Ave
Chandler, AZ 85226
Phone (480) 961-1865

3900 W Ray Rd
Ste 1
Chandler, AZ 85226
Phone (480) 820-9880

4025 S Gilbert Rd
Ste 3
Chandler, AZ 85249
Phone (480) 988-6847

801 S Milton Rd
Flagstaff, AZ 86001
Phone (928) 213-1400

13125 N La Montana Dr
Ste 1
Fountain Hls, AZ 85268
Phone (480) 816-0102

115 E Williams Field Rd
Gilbert, AZ 85295

1495 N Higley Rd
Ste 106
Gilbert, AZ 85234
Phone (623) 289-8962

1672 E Guadalupe Rd
Ste 111
Gilbert, AZ 85234
Phone (480) 892-6495

6510 S Higley Rd
Ste 101
Gilbert, AZ 85298
Phone (480) 988-0765

20221 N 67th Ave
Ste E8
Glendale, AZ 85308
Phone (623) 362-2349

5026 W Cactus Rd
Ste 4
Glendale, AZ 85304
Phone (602) 547-9124

5707 W Northern Ave
Ste 106
Glendale, AZ 85301
Phone (602) 512-3299

9524 W Camelback Rd
Ste 150
Glendale, AZ 85305
Phone (623) 872-8822

1170 N Estrella Pkwy
Ste A105
Goodyear, AZ 85338
Phone (623) 932-0428

14175 W Indian School Rd
Goodyear, AZ 85395
Phone (623) 536-2575

18690 S Nogales Hwy
Ste 118
Green Valley, AZ 85614
Phone (520) 648-0698

230 W Continental Rd
Ste 408
Green Valley, AZ 85622
Phone (520) 327-2020

7650 S 59th Ave
Ste 101
Laveen, AZ 85339
Phone (602) 237-3576

Interoperability endpoints

  • Direct secure messaging: dr.theresa.setlock@direct.eyecare-partners.com
  • FHIR API: https://app.meldrx.com/api/fhir/ecp_cecaz

Organizations & group practices 6

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": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301356800000",
    "number": "1922081454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11080 N POINSETTIA DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857379564",
            "telephone_number": "520-797-0244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6987 N ORACLE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857044224",
            "telephone_number": "520-297-2501",
            "fax_number": "520-297-9496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SETLOCK",
        "first_name": "THERESA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-29",
        "last_updated": "2011-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "049272",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.