DR. REBECCA PASSA (NPI# 1477960268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477960268 |
| Entity Type | Individual |
| Full Name | DR. REBECCA PASSA |
| Credential | O.D. |
| Practice Address |
1505 S Yale St Flagstaff AZ 86001-6330 |
| Practice Telephone | 9287795600 |
| Mailing Telephone | 9287795600 |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2014-07-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | 8397T | TX | Eye and Vision Services Providers |
| Y | 152W00000X | Optometrist | 1993 | AZ | Eye and Vision Services Providers |
| Street Address |
1505 S YALE ST |
| City | FLAGSTAFF |
| State | AZ |
| Zip Code | 86001-6330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790184604 | Sarah Padrnos | Optometrist | 1505 S Yale St, Flagstaff, AZ 86001-6330 | 2014-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658756 | Marlenne Adair Escobar-mendoza | Specialist/Technologist | 1705 South San Francisco Street, Flagstaff, AZ 86001 | 2020-10-27 |
| 1962033712 | Laura-lee Prescott | Social Worker | Northern Az Va Healthcare System, Flagstaff Cboc, 1300 W. University Ave., Suite 300, Flagstaff, AZ 86001 | 2020-01-30 |
| 1194360784 | Trinity Medical Consultants Pllc | Internal Medicine | 1521 N Cliff Drive, Flagstaff, AZ 86001 | 2019-11-07 |
| 1154849610 | Altacare, LLC | Family Medicine | 2700 S Woodlands Village Blvd Ste 700, Flagstaff, AZ 86001 | 2017-09-05 |
| 1487174926 | Lindsey Marie Forstie | Nurse Practitioner | 7263 E Dreamview Trail, Flagstaff, AZ 86001 | 2017-06-26 |
| 1255860763 | Welbrook Senior Living Flagstaff LLC | Skilled Nursing Facility | 1521 N Pine Cliff Dr, Flagstaff, AZ 86001 | 2017-06-08 |
| 1912432675 | Ryan Tiscareno | Specialist/Technologist | 621 West Cherry Ave, Flagstaff, AZ 86001 | 2017-05-01 |
| 1629432380 | Behavioral Consultation Services, Inc. | Clinic/Center | 345 S. River Run Road, Suite 200, Flagstaff, AZ 86001 | 2016-04-08 |
| 1275920928 | Junli Gallagher | Speech-Language Pathologist | 1215 N. Beaver St, Flagstaff, AZ 86001 | 2015-04-21 |
| 1932592599 | Kristen Flugstad Psyd, LLC | Psychologist | 125 East Elm Avenue #203, Flagstaff, AZ 86001 | 2015-03-06 |
| Find all providers in zip 86001 | ||||
| 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 |
|---|---|---|---|---|
| 1720640246 | Zachary German | Optometrist | 4650 N Us Highway 89 Ste C2, Flagstaff, AZ 86004-2444 | 2019-07-04 |
| 1285819136 | Northern Arizona Optometry | Optometrist | 940 N Switzer Canyon Dr., Ste 101, Flagstaff, AZ 86001 | 2008-01-09 |
| 1780711317 | Flagstaff Eye Care Pllc | Optometrist | 410 N San Francisco St, Flagstaff, AZ 86001-4632 | 2007-02-28 |
| 1235288218 | Jerilyn Marie Ree | Optometrist | 4800 N Hwy 89, Flagstaff, AZ 86004 | 2007-01-09 |
| 1013064120 | Kirsten M Mellinger | Optometrist | 940 N Switzer Cyn Dr #101, Flagstaff, AZ 86001-4852 | 2007-01-04 |
| 1437261856 | Norma Jenkins | Optometrist | 4650 N. Hwy 89, Space C-2, Flagstaff, AZ 86004 | 2006-08-31 |
| 1023074085 | Patrick Edward Padrnos | Optometrist | 1135 S Plaza Way, Flagstaff, AZ 86001-6317 | 2006-04-26 |
| 1013971282 | Daniel Eugene Thomas | Optometrist | 2050 S Woodlands Village Blvd, Suite #3, Flagstaff, AZ 86001-2971 | 2006-04-14 |
| 1588635601 | Phillip John Wong | Optometrist | 818 N Beaver St, Flagstaff, AZ 86001-3106 | 2006-01-27 |
| 1821077744 | Douglas Michael Savery | Optometrist | 1650 S Milton Rd, Flagstaff, AZ 86001-0802 | 2006-01-10 |
| Find all providers in FLAGSTAFF | ||||
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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.