Active NPI
Eye Associates LTD
- Eyewear Supplier
- Tucson, AZ
National Provider Identifier
1992979314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- License
- 0092770
- Legal business name
- EYE ASSOCIATES LTD
- Practice address
- 5240 E Knight Dr
Ste 104
Tucson, AZ 85712-2122 - Phone
- (520) 795-4202
- Fax
- (520) 326-5317
- NPI assigned
- Apr 16, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Diesenhouse, M.D.
- Title
- Owner
- Phone
- (520) 795-4202
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | 0092770 | AZ | Primary |
Addresses
Primary practice location
5240 E Knight Dr
Ste 104
Tucson, AZ 85712-2122
Mailing address
5240 E Knight Dr
Ste 104
Tucson, AZ 85712-2122
Phone (520) 795-4202
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040324001038 | AZ | Part B Supplier - Clinic/Group Practice | 1355232653 |
Receives reassigned benefits from 9 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Tucson, 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 DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208304000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1507075200000",
"number": "1992979314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5240 E KNIGHT DR",
"address_2": "STE 104",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857122122",
"telephone_number": "520-795-4202",
"fax_number": "520-326-5317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5240 E KNIGHT DR",
"address_2": "STE 104",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857122122",
"telephone_number": "520-795-4202",
"fax_number": "520-326-5317"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EYE ASSOCIATES LTD",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-16",
"last_updated": "2017-10-04",
"status": "A",
"authorized_official_last_name": "DIESENHOUSE",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "520-795-4202",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "AZ",
"license": "0092770",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2017; 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.