SOUTHERN ARIZONA OPHTHALMOLOGY PC (NPI# 1477719979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477719979 |
| Entity Type | Organization |
| Organization Name | SOUTHERN ARIZONA OPHTHALMOLOGY PC |
| Other Organization Name | SOUTHERN ARIZONA OPHTHALMOLOGY LTD |
| Practice Address |
5675 E Grant Rd Tucson AZ 85712-2211 |
| Practice Telephone | 5207217995 |
| Practice Fax Number | 5207210654 |
| Mailing Telephone | 5207217995 |
| Mailing Fax Number | 5207210654 |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2019-04-06 |
| Authorized Official Name | RYAN TEEPLE (PRESIDENT) |
| Authorized Official Telephone | 5207217995 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 8164 | AZ | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Southern Arizona Ophthalmology LTD | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5635 E Grant Rd, Tucson, AZ 857122211 | 5207217995 | 5207210654 |
| Street Address |
5675 E GRANT RD |
| City | TUCSON |
| State | AZ |
| Zip Code | 85712-2211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114245693 | Ryan Teeple | Ophthalmology | 5675 E Grant Rd, Tucson, AZ 85712-2211 | 2010-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871104950 | Nancy Rae Klug | Registered Nurse | 2380 N Ferguson Ave., Tucson, AZ 85712 | 2020-08-12 |
| 1013525534 | James Tutu Fiske I | Nurse Practitioner | 5700 E. Pima Street Suite C., Tucson, AZ 85712 | 2020-07-21 |
| 1063031953 | Mehera Tiffanie Hormuz | Student in an Organized Health Care Education/Training Program | 5301 E. Grant Rd., Tucson, AZ 85712 | 2020-04-10 |
| 1770133282 | Elizabeth Nadeschzda Lowell | Nurse Practitioner | 4881 E Grant Road, Suite 101, Tucson, AZ 85712 | 2019-09-17 |
| 1174185649 | Pisa Asc Holdco LLC | Clinic/Center | 4741 E Camp Lowell Drive, Tucson, AZ 85712 | 2019-07-03 |
| 1548821838 | Painted Sky Healthcare, Inc. | Hospice Care, Community Based | 2980 N Swan Rd Ste 222, Tucson, AZ 85712 | 2019-06-26 |
| 1558925644 | Helen Jane Lyall | Registered Nurse | Tucson Medical Centre, 5301 E Grant Road, Tucson, AZ 85712 | 2019-04-24 |
| 1760953541 | Anna Marissa Ramirez | Nurse Practitioner | 5170 E Glenn St Ste 160, Tucson, AZ 85712 | 2018-12-05 |
| 1407343841 | Imran Ata Md Pllc | Internal Medicine | 3925 E Fort Lowell Rd Ste 105, Tucson, AZ 85712 | 2018-04-20 |
| 1003322926 | Millennium Acupuncture | Acupuncturist | 6161 E Pima St Tucson Az 85712, Apt 2074, Tucson, AZ 85712 | 2017-12-15 |
| Find all providers in zip 85712 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467940015 | Jin Zhang | Ophthalmology | 655 N Alvernon Way Ste 204, Tucson, AZ 85711 | 2018-04-30 |
| 1578834180 | Paul J Reiling | Ophthalmology | 5945 N Cerrada Miguel, Tucson, AZ 85718-4117 | 2012-01-13 |
| 1902037310 | Retina Specialists of Southern Arizona, P.l.l.c. | Ophthalmology | 4753 E Camp Lowell Dr, Tucson, AZ 85712-1256 | 2009-08-03 |
| 1912104993 | Erold Jean-francois | Ophthalmology | 2937 E Greenlee St, Tucson, AZ 85716-1205 | 2007-07-02 |
| 1225254733 | Eye Associates Ltd | Ophthalmology | 6130 N La Cholla, Suite 245, Tucson, AZ 85741 | 2007-04-17 |
| 1699825885 | Soofia Rubbani | Ophthalmology | 400 W. Magee Rd, Tucson, AZ 85704 | 2007-01-11 |
| 1912085002 | Peter H. Kaufer | Ophthalmology | 1745 E Skyline Dr, Suite 175, Tucson, AZ 85718-1162 | 2006-11-02 |
| 1326123043 | Kristin Carter | Ophthalmology | 1615 N Swan Rd, Tucson, AZ 85712-4046 | 2006-10-25 |
| 1124100748 | Steven Cohen | Ophthalmology | 6528 E Carondelet Dr, Tucson, AZ 85710-2117 | 2006-10-20 |
| 1740362359 | Barry Kusman | Ophthalmology | 1745 E Skyline Dr Ste 175, Tucson, AZ 85718-1163 | 2006-10-20 |
| Find all providers in TUCSON | ||||
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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.