Individual provider Active NPI

Ovette Villavicencio, M.D, PH.D.

  • Ophthalmology Physician
  • Tucson, AZ
National Provider Identifier
1972814374
Registry record updated Jul 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
50246 Issued in AZ
Practice address
3925 E Fort Lowell Rd Ste 100
Tucson, AZ 85712-1053
Phone
(520) 576-5110
Fax
(520) 529-7165
NPI assigned
Jun 30, 2010
Last updated
Jul 30, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X R72235 AZ
Ophthalmology Physician 207W00000X 01073604A IN
Ophthalmology Physician 207W00000X 50246 AZ Primary

Addresses

Primary practice location

3925 E Fort Lowell Rd Ste 100
Tucson, AZ 85712-1053

Mailing address

3925 E Fort Lowell Rd Ste 100
Tucson, AZ 85712-1053
Phone (520) 576-5110

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150813009302 AZ Practitioner - Ophthalmology 2668696196 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Arizona College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Swagel-Wootton Eye Center, IncGroup PAC ID 9335130046, 10 clinicians
Catalina Eye Care PCGroup PAC ID 2860553849, 5 clinicians

Practice addresses (Care Compare)

220 S 63Rd St
Mesa, AZ 85206-1619
Phone (480) 641-3937

3925 E Fort Lowell Rd
Suite 100
Tucson, AZ 85712-1053
Phone (520) 576-5110

Merit-based Incentive Payment System (MIPS)

Final score
89.55 of 100Reported as group
Quality
100
Improvement activities
40
Cost
65.17

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery159

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
R72235AZMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Nationwide Optometry P.C. CurrentSince Sep 29, 2021 Accepting new patients
Swagel-Wootton Eye Center, Inc Ophthalmology CurrentSince Jan 1, 2026 Accepting new patients
Catalina Eye Care PC CurrentSince Aug 1, 2015 Accepting new patients
Nationwide Vision Center, LLC Current Accepting new patients
Swagel-Wootton Eye Center, Inc CurrentSince Jan 1, 2026 Accepting new patients
Swagel-Wootton Eye Center, Inc Current Accepting new patients
Catalina Eye Care PC Ophthalmology CurrentSince Aug 1, 2015 Accepting new patients
Nationwide Optometry P.C. CurrentSince Sep 29, 2021 Accepting new patients

Locations

10735 E Apache Trl
Apache Junction, AZ 85120
Phone (480) 354-7976

10735 E Apache Trl
Ste 107
Apache Junction, AZ 85120
Phone (480) 354-7976

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

3940 S Alma School Rd
Chandler, AZ 85248
Phone (480) 435-9546

3940 S Alma School Rd
Ste 3
Chandler, AZ 85248
Phone (480) 641-3937

1025 S Power Rd
Ste 102
Mesa, AZ 85206
Phone (480) 325-6277

220 S 63rd St
Mesa, AZ 85206
Phone (480) 641-3937

85 W Combs Rd
Ste 108
San Tan Valley, AZ 85140
Phone (602) 239-4286

5551 S White Mountain Rd
Unit 3
Show Low, AZ 85901
Phone (928) 537-5110

2443 N Campbell Ave
Tucson, AZ 85719
Phone (520) 877-7858

3925 E Fort Lowell Rd
Tucson, AZ 85712
Phone (520) 576-5110

3925 E Fort Lowell Rd
Ste 100
Tucson, AZ 85712
Phone (520) 576-5110

4021 E Sunrise Dr
Ste 121
Tucson, AZ 85718
Phone (520) 575-5110

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: ovillavicencio@catalinaeye.emadirect.md
  • Direct secure messaging: ovillavicencio@nvision.emadirect.md

Organizations & group practices 8

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": "1277856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596067200000",
    "number": "1972814374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3925 E FORT LOWELL RD STE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857121053",
            "telephone_number": "520-576-5110",
            "fax_number": "520-529-7165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3925 E FORT LOWELL RD STE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857121053",
            "telephone_number": "520-576-5110",
            "fax_number": "520-529-7165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLAVICENCIO",
        "first_name": "OVETTE",
        "name_prefix": "Dr.",
        "credential": "M.D, PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-30",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "AZ",
            "license": "R72235",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "01073604A",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "50246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.