Provider Type Icon

DHHS-PHS IHS TUCSON AREA IHS TUCSON SAN XAVIER CLINIC NPI 1124081187


NPI Information

NPI: 1124081187
Provider Name: DHHS-PHS, IHS TUCSON AREA, IHS TUCSON SAN XAVIER CLINIC

Other Name: SAN XAVIER CLINIC

Classification: Optometrist - 152W00000X
Entity Type: Organization
Address:
7900 S J STOCK RD
TUCSON, AZ
ZIP 85746
Phone: (520) 295-2427
Get Directions

DHHS-PHS, IHS TUCSON AREA, IHS TUCSON SAN XAVIER CLINIC is an optometrist in Tucson, AZ. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. DHHS-PHS, IHS TUCSON AREA, IHS TUCSON SAN XAVIER CLINIC NPI is 1124081187. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is San Xavier Clinic.

The provider's business location address is:

7900 S J STOCK RD
TUCSON, AZ
ZIP 85746-012
Phone: (520) 295-2427
Fax: (520) 295-2611

The provider's authorized official is Kurt Priessman .
The authorized official title is Accounting And Budget Officer and has the following contact phone number (520) 295-2427.

The enumeration date for this NPI number is 4/10/2006 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometristYes
2156FX1201XTechnician/TechnologistOptometric AssistantX
3156FX1202XTechnician/TechnologistOptometric TechnicianX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1147133-03MEDICAIDARIZONA
21437157302OTHERARIZONAFACILITY NPI #
3706921-01MEDICAIDARIZONA
4AZ0209620OTHERARIZONABC/BS OF AZ PROV #

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.