Primera Enterprise LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

PRIMERA ENTERPRISE LLC

Doing business as

Primera Vista Optical

Practice address

2950 N 91St Ave Ste C-102
Phoenix, AZ 85037-3380

Phone

(623) 877-2481

NPI assigned

Dec 18, 2020

Organization subpart

No

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

Authorized official

Name

Mayra Machuca

Title

Optician

Phone

(623) 877-2481

Specialties & licenses 1

Addresses

Other names 1

• Primera Vista Optical Doing business as

Locations

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

{
    "created_epoch": "1608249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608249600000",
    "number": "1952997470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 N 91ST AVE STE C-102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850373380",
            "telephone_number": "623-877-2481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 N 91ST AVE STE C-102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850373380",
            "telephone_number": "623-877-2481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMERA ENTERPRISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-18",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-18",
        "status": "A",
        "authorized_official_last_name": "MACHUCA",
        "authorized_official_first_name": "MAYRA",
        "authorized_official_title_or_position": "OPTICIAN",
        "authorized_official_telephone_number": "623-877-2481"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Primera Vista Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2020; 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.