Individual provider Active NPI

Christine M Bartoletti, O.D.

  • Optometrist
  • Green Valley, AZ
National Provider Identifier
1992777197
Registry record updated Dec 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
00976 Issued in AZ
Practice address
560 E Continental Rd Ste 104
Green Valley, AZ 85614-1825
Phone
(520) 625-5673
Fax
(520) 625-6259
NPI assigned
Feb 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 00976 AZ Primary

Addresses

Primary practice location

560 E Continental Rd Ste 104
Green Valley, AZ 85614-1825

Mailing address

2003 S Rolling Rock PL
Green Valley, AZ 85614-5159
Phone (520) 403-3669

Other identifiers 1

IdentifierTypeStateIssuer
448680MedicaidAZ

Other names 1

  • Christine M True Former name

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031208000723 AZ Practitioner - Optometry 1951207331 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00976AZMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vista Eye Care, PLC Optometrist CurrentSince May 31, 2007 Accepting new patients
Catalina Eye Care PC PastSince Jul 1, 2007 Accepting new patients

Locations

101 S La Canada Dr
Ste 18
Green Valley, AZ 85614
Phone (520) 625-5673

560 E Continental Rd
Unit 104
Green Valley, AZ 85614
Phone (520) 576-5110

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576627200000",
    "number": "1992777197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 S ROLLING ROCK PL",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856145159",
            "telephone_number": "520-403-3669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 E CONTINENTAL RD STE 104",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856141825",
            "telephone_number": "520-625-5673",
            "fax_number": "520-625-6259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTOLETTI",
        "first_name": "CHRISTINE",
        "middle_name": "M",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-02",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "00976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "448680",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "TRUE",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Green Valley, AZ

Sources for this page

Verify at the official NPI Registry.