Organization Active NPI

Desert Eye Optical LLC

  • Eyewear Supplier
  • Green Valley, AZ
National Provider Identifier
1952609984
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
DESERT EYE OPTICAL LLC
Practice address
1150 S Calle de Las Casitas
Suite 120
Green Valley, AZ 85614-2017
Phone
(520) 382-2340
Fax
(520) 625-0648
NPI assigned
Feb 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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

Authorized official

Name
Maria Turenne
Title
Admin
Phone
(520) 327-5677

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

1150 S Calle de Las Casitas
Suite 120
Green Valley, AZ 85614-2017

Mailing address

1150 S Calle de Las Casitas
Suite 120
Green Valley, AZ 85614-2017
Phone (520) 327-5677

Other names 1

  • DESERT EYE OPTICAL Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110818000079 AZ DME Supplier - Optician 5496924631 Practice locations: Green Valley, AZ

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Desert Eye Optical, LLC1150 S Calle de Las Casitas, Green Valley, AZ 85614-2061(520) 382-2340 Prosthetic Lenses: Conventional Eyeglasses Accepts assignmentParticipating since Dec 19, 2022

National Provider Directory

National Provider Directory
Tax ID family
Desert Eye Optical LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1150 S Calle de las Casitas
Ste 120
Green Valley, AZ 85614
Phone (520) 382-2340

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1298851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666742400000",
    "number": "1952609984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 S CALLE DE LAS CASITAS",
            "address_2": "SUITE 120",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856142017",
            "telephone_number": "520-327-5677",
            "fax_number": "520-547-2135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 S CALLE DE LAS CASITAS",
            "address_2": "SUITE 120",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856142017",
            "telephone_number": "520-382-2340",
            "fax_number": "520-625-0648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT EYE OPTICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-28",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A",
        "authorized_official_last_name": "TURENNE",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "520-327-5677"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DESERT EYE OPTICAL",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "DESERT EYE OPTICAL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Green Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.