NPIMap

Organization Active NPI

Desert Eye Associates LTD

  • Ophthalmology Physician
  • Green Valley, AZ
National Provider Identifier
1982689667
Registry record updated Sep 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
DESERT EYE ASSOCIATES LTD
Practice address
1150 S Calle de Las Casitas
#150
Green Valley, AZ 85614-2017
Phone
(520) 625-7450
Fax
(520) 525-0648
NPI assigned
Dec 14, 2005
Reactivated
Jul 31, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2021

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

Authorized official

Name
Maria Turenne
Title
Practice Administrator
Phone
(520) 327-5677

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

1150 S Calle de Las Casitas
#150
Green Valley, AZ 85614-2017

Mailing address

1110 N El Dorado PL
Tucson, AZ 85715-4606
Phone (520) 327-5677

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040407001367 AZ Part B Supplier - Clinic/Group Practice 9436142072 Receives reassigned benefits from 6 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Tucson, AZ; Green Valley, AZ

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Desert Eye Associates LTD3 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.

Practitioners & affiliated clinicians

Practitioners 3

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": "1134518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632182400000",
    "number": "1982689667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 N EL DORADO PL",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857154606",
            "telephone_number": "520-327-5677",
            "fax_number": "520-325-2335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 S CALLE DE LAS CASITAS",
            "address_2": "#150",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856142017",
            "telephone_number": "520-625-7450",
            "fax_number": "520-525-0648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT EYE ASSOCIATES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-14",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "deactivation_date": "2018-07-12",
        "reactivation_date": "2018-07-31",
        "status": "A",
        "authorized_official_last_name": "TURENNE",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "520-327-5677"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 21, 2021; 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.