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YAVAPAI EYE CARE LLC NPI 1275168528


NPI Information

NPI: 1275168528
Provider Name: YAVAPAI EYE CARE LLC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
7840 E STATE ROUTE 69 UNIT A-5A
PRESCOTT VALLEY, AZ
ZIP 86314
Phone: (480) 630-8103
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YAVAPAI EYE CARE LLC is a clinic center in Prescott Valley, AZ. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). YAVAPAI EYE CARE LLC NPI is 1275168528. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7840 E STATE ROUTE 69 UNIT A-5A
PRESCOTT VALLEY, AZ
ZIP 86314-280
Phone: (480) 630-8103

The provider's authorized official is Jared G Smedley .
The authorized official title is Authorized Official and has the following contact phone number (928) 775-9393.

The enumeration date for this NPI number is 3/6/2020 and was last updated on 1/28/2022.


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
1152W00000XOptometristNo
2156F00000XTechnician/TechnologistNo
3156FX1100XTechnician/TechnologistOphthalmicNo
4156FX1202XTechnician/TechnologistOptometric TechnicianNo
5163WX1100XRegistered NurseOphthalmicNo
6207W00000XOphthalmologyNo
7261QS0132XClinic/CenterOphthalmologic SurgeryNo
8261Q00000XClinic/CenterYes

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: 11/14/2023

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.