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RASW PC NPI 1407916992


NPI Information

NPI: 1407916992
Provider Name: RASW, PC

Doing Business As: RETINA ASSOCIATES SOUTHWEST, P.C.

Classification: Ophthalmology - 207WX0107X
Entity Type: Organization

Specialization: Retina Specialist

CLIA Number: 03D2188647

Address:
6561 E CARONDELET DR
TUCSON, AZ
ZIP 85710
Phone: (520) 886-2597
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RASW, PC is a retina specialist ophthalmology in Tucson, AZ. The provider is an ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. RASW, PC NPI is 1407916992. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Retina Associates Southwest, P.c..

The provider's business location address is:

6561 E CARONDELET DR
TUCSON, AZ
ZIP 85710-156
Phone: (520) 886-2597
Fax: (520) 886-6639

The provider's authorized official is Cameron G. Javid .
The authorized official title is President and has the following contact phone number (520) 886-2597.

The CLIA number assigned to this NPI record is 03D2188647 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/12/2006 and was last updated on 4/5/2017.


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
1207WX0107XOphthalmologyRetina SpecialistYes

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
1517401MEDICAIDARIZONA
220634MEDICARE ID-TYPE UNSPECIFIEDARIZONAGROUP MEDICARE ID

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

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