ENVISION EYECARE LLC NPI 1043079783

NPI Information

  • NPI: 1043079783
  • Provider Name: ENVISION EYECARE LLC
  • Classification: Optometrist - 152WC0802X
  • Specialization: Corneal and Contact Management
  • Entity Type: Organization
  • Address: 12605 N TATUM BLVD # A111
    PHOENIX, AZ
    ZIP 85032
  • Phone: (602) 494-7333

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NPI Details

ENVISION EYECARE LLC is a corneal and contact management optometrist in Phoenix, AZ. The provider is the professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. ENVISION EYECARE LLC NPI is 1043079783. The provider is registered as an organization entity type.

The provider's business location address is:

12605 N TATUM BLVD # A111
PHOENIX, AZ
ZIP 85032-710
Phone: (602) 494-7333
Fax: (480) 701-8050

The provider's authorized official is Yamile Romaguera .
The authorized official title is Provider / Sole Member and has the following contact phone number (602) 494-7336.

The enumeration date for this NPI number is 3/15/2024 and was last updated on 3/15/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152WC0802XOptometristCorneal and Contact ManagementYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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