EBCON OPTICS LLC (NPI# 1427354422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427354422 |
| Entity Type | Organization |
| Organization Name | EBCON OPTICS LLC |
| Practice Address |
500 N Estrella Pkwy Goodyear AZ 85338-4135 |
| Practice Telephone | 6239805496 |
| Mailing Telephone | 6239805496 |
| Enumeration Date | 2011-02-08 |
| Last Update Date | 2011-06-27 |
| Authorized Official Name | DR. FREDERICK CHARLES BUENSUCESO (OPTOMETRIST) |
| Authorized Official Telephone | 6239805496 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1352 | AZ | Eye and Vision Services Providers |
| Street Address |
500 N ESTRELLA PKWY |
| City | GOODYEAR |
| State | AZ |
| Zip Code | 85338-4135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760404602 | Frederick Charles Buensuceso | Optometrist | 500 N Estrella Pkwy, Goodyear, AZ 85338-4135 | 2006-07-23 |
| 1104282425 | Canyon Trails Family Dental, LLC | Dentist | 500 N Estrella Pkwy, Suite B-1, Goodyear, AZ 85338-4135 | 2016-01-04 |
| 1396977880 | Ashley Ann Heid | Dentist | 500 N Estrella Pkwy, Suite B-1, Goodyear, AZ 85338-4135 | 2009-08-17 |
| 1043356058 | Canyon Trails Dental Care, PC | Dentist | 500 N Estrella Pkwy, Suite B1, Goodyear, AZ 85338-4135 | 2007-01-29 |
| 1487714283 | Brent Richard Stanley | Dentist | 500 N Estrella Pkwy, Suite B-1, Goodyear, AZ 85338-4135 | 2006-12-11 |
| 1598825374 | Mark Delwyn Wheeler | Dentist | 500 N Estrella Pkwy, Suite B-1, Goodyear, AZ 85338-4135 | 2006-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295226884 | Caroline Chang | Dentist | 15530 W Roosevelt St Ste E106, Goodyear, AZ 85338 | 2018-05-20 |
| 1609376714 | Rosanna Alvarez | Licensed Practical Nurse | 17432 W Elaine Dr, Goodyear, AZ 85338 | 2018-02-15 |
| 1023534419 | Jennifer Elizabeth Lawrence Dixon | Social Worker | 319 N Lichfield Rd, Suite 105, Goodyear, AZ 85338 | 2017-08-17 |
| 1346774916 | Vanessa Castillo | Specialist/Technologist | 18035 W. Yuma Rd, Goodyear, AZ 85338 | 2017-04-20 |
| 1386008076 | Hope Behavioral Health Residential Care | Substance Abuse Rehabilitation Facility | 15985 W.williams Street, Goodyear, AZ 85338 | 2016-04-08 |
| 1952760241 | Jeremy John Abdul-haqq | Dentist | 15661 W Roosevelt St Ste 102, Goodyear, AZ 85338 | 2016-02-16 |
| 1417206897 | Kelly Renee Filo | Occupational Therapy Assistant | 10189 S. Hacienda Dr., Goodyear, AZ 85338 | 2012-08-31 |
| 1194015545 | Nancy Ann Amore | Licensed Practical Nurse | 15578 W Yuma Road, Goodyear, AZ 85338 | 2011-04-19 |
| 1932409208 | Chung Counihan | Pharmacist | 9890 S Estrella Parkway, Goodyear, AZ 85338 | 2010-11-02 |
| 1053611327 | Traven Anderson | Pharmacist | 9890 South Estrella Parkway, Goodyear, AZ 85338 | 2010-11-02 |
| Find all providers in zip 85338 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598317117 | Devin Talmage Whipple | Optometrist | 15465 W Mcdowell Rd Ste 101, Goodyear, AZ 85395-2528 | 2019-07-13 |
| 1548785652 | Sherah Labuff | Optometrist | 1170 N Estrella Pkwy Ste A105, Goodyear, AZ 85338-9276 | 2017-08-09 |
| 1619375599 | Brandon Burr | Optometrist | 14175 W. Indian School Rd. Bypass Ste D2, Goodyear, AZ 85395 | 2014-12-09 |
| 1700023025 | Tom Sowash Od & Associates PC | Optometrist | 14009 W Mcdowell Road, Goodyear, AZ 85338 | 2009-01-08 |
| 1649385378 | David R Burgett | Optometrist | 16129 W Morning Glory St, Goodyear, AZ 85338-6800 | 2006-08-21 |
| 1760404602 | Frederick Charles Buensuceso | Optometrist | 500 N Estrella Pkwy, Goodyear, AZ 85338-4135 | 2006-07-23 |
| 1689653271 | Christopher Thomas Furey | Optometrist | 2580 N Litchfield Rd, Goodyear, AZ 85395-2071 | 2006-01-11 |
| 1184610784 | Mary V Fisher | Optometrist | 1626 N Litchfield Rd Ste 110, Goodyear, AZ 85395-1399 | 2005-09-20 |
| 1992705180 | Ronald A Plotkin | Optometrist | 15563 W Roanoke Ave, Goodyear, AZ 85395-1461 | 2005-07-28 |
| 1194382689 | James Edward Mills | Optometrist | 14009 W Mcdowell Rd, Goodyear, AZ 85395-2538 | 2019-05-21 |
| Find all providers in GOODYEAR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.