Individual provider Active NPI

Yamile Lucia Villar-Romaguera, O.D.

  • Optometrist
  • Phoenix, AZ
National Provider Identifier
1942524152
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1854 Issued in AZ
Practice address
12605 N Tatum Blvd # A111
Phoenix, AZ 85032-7710
Phone
(602) 494-7336
Fax
(480) 701-8050
NPI assigned
Mar 16, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC3385 FL
Corneal and Contact Management Optometrist 152WC0802X OPC3385 FL
Corneal and Contact Management Optometrist 152WC0802X 1854 AZ
Optometrist 152W00000X 1854 AZ Primary

Addresses

Primary practice location

12605 N Tatum Blvd # A111
Phoenix, AZ 85032-7710

Mailing address

5621 E Voltaire Ave
Scottsdale, AZ 85254-3729

Other names 1

  • Dr. Yamile Villar Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1854AZMDOptometrist
OPC3385FLMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Envision Eyecare LLC Corneal and Contact Management CurrentSince Mar 17, 2024 Accepting new patients

Locations

12605 N Tatum Blvd
#A111
Phoenix, AZ 85032
Phone (602) 494-7333

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1268697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1942524152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5621 E VOLTAIRE AVE",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852543729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12605 N TATUM BLVD # A111",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850327710",
            "telephone_number": "602-494-7336",
            "fax_number": "480-701-8050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLAR-ROMAGUERA",
        "first_name": "YAMILE",
        "middle_name": "LUCIA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-16",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3385",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "FL",
            "license": "OPC3385",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "AZ",
            "license": "1854",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YAMILE",
            "last_name": "VILLAR",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.