Elite Eyecare Center PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

ELITE EYECARE CENTER PLLC

Practice address

3383 W. Main St.
Thatcher, AZ 85552

Phone

(928) 792-4455

Fax

(928) 792-4463

NPI assigned

Jan 25, 2018

Last updated

Jun 11, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert Scott Sellers, ODNPI 1609031533

Title

Optometrist

Phone

(928) 792-4455

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert Scott Sellers, O.D.

  • Optometrist
  • Thatcher, AZ
  • NPI 1609031533
  Medicare reassignment Care Compare group NPD Authorized official
• Ammon Alan Baysinger

  • Optometrist
  • Thatcher, AZ
  • NPI 1730828096
  Medicare reassignment Care Compare group NPD
• Christopher Rae Wood, OD

  • Optometrist
  • St George, UT
  • NPI 1548768997

  AZ

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1516838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1982102844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3383 W. MAIN ST.",
            "city": "THATCHER",
            "state": "AZ",
            "postal_code": "855525558",
            "telephone_number": "928-792-4455",
            "fax_number": "928-792-4463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3383 W. MAIN ST.",
            "city": "THATCHER",
            "state": "AZ",
            "postal_code": "85552",
            "telephone_number": "928-792-4455",
            "fax_number": "928-792-4463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE EYECARE CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-25",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "SELLERS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "928-792-4455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.