DEAN FASCIANI (NPI# 1720335003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720335003 |
| Entity Type | Individual |
| Full Name | DEAN FASCIANI |
| Other Name | DEAN HAURYLUCK |
| Credential | OD |
| Practice Address |
483 W. Seed Farm Rd Sacaton AZ 85147-0038 |
| Mailing Address |
Po Box 38 Sacaton AZ 85147-0001 |
| Practice Telephone | 6025281200 |
| Practice Fax Number | 6025281255 |
| Mailing Telephone | 6025281200 |
| Mailing Fax Number | 6025281255 |
| Enumeration Date | 2012-08-06 |
| Last Update Date | 2014-05-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1871 | AZ | Eye and Vision Services Providers |
| Street Address |
483 W. SEED FARM RD |
| City | SACATON |
| State | AZ |
| Zip Code | 85147-0038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124006630 | Kenneth R Geans | Social Worker | 483 W. Seed Farm Rd, Sacaton, AZ 85247 | 2006-01-04 |
| 1003327685 | Robert William Adams | Registered Nurse | 483 W. Seed Farm Rd, Sacaton, AZ 85147 | 2017-10-23 |
| 1730583725 | Ronald M Fosson | Dietitian, Registered | 483 W. Seed Farm Rd, Gila River Health Care Corporation, Sacaton, AZ 85147-0038 | 2014-10-20 |
| 1528304755 | Cynthia Ann Carter | Nurse Practitioner | 483 W. Seed Farm Rd, Sacaton, AZ 85147 | 2012-12-16 |
| 1497020804 | Becky Gail Brundin | Dietitian, Registered | 483 W. Seed Farm Rd, Sacaton, AZ 85147-0038 | 2012-03-19 |
| 1497034342 | Shannon Yvonne Borrego | Optometrist | 483 W. Seed Farm Rd, Sacaton, AZ 85147 | 2011-08-10 |
| 1720371396 | Crystal Amber Kunka | Family Medicine | 483 W. Seed Farm Rd, Sacaton, AZ 85147 | 2011-05-16 |
| 1124323621 | Melissa R Lill | Nurse Practitioner | 483 W. Seed Farm Rd, Sacaton, AZ 85147 | 2011-01-14 |
| 1538478946 | Stacy Marie Crow | Physical Therapist | 483 W. Seed Farm Rd, Sacaton, AZ 85147 | 2010-10-03 |
| 1720304710 | Marilyn L Sample | Dietitian, Registered | 483 W. Seed Farm Rd, Sacaton, AZ 85147-0115 | 2010-04-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104452507 | Jeremy James Pumphrey | Counselor | 438 W Seed Farm Rd, Sacaton, AZ 85147 | 2020-03-17 |
| 1215563804 | Leo Oswaldo Merino | Counselor | 291 W. Casa Blanca Rd. Bldg. # 7, Sacaton, AZ 85147 | 2020-03-16 |
| 1588166896 | Stephanie Lashawn Brown | Social Worker | 483 West Seed Farm Rd., Sacaton, AZ 85147 | 2018-03-02 |
| 1255602447 | Joyce Mildred Villalobos | Counselor | Gila River Health Care Corp, 483 W Seed Farm Rd, Sacaton, AZ 85147 | 2012-01-19 |
| 1417237074 | Gila River Health Care | Community/Behavioral Health | 291 W Casa Blanca Rd, Sacaton, AZ 85147 | 2011-08-26 |
| 1750598322 | Kari Beth Harris | Social Worker | 198 South Skill Center Road, Sacaton, AZ 85147 | 2007-05-16 |
| 1740378694 | Vincent Anthony Berkley | Internal Medicine | 198 S. Skill Center Road, Sacaton, AZ 85147 | 2006-10-10 |
| 1568448801 | Wesley Neil Yamada | Podiatrist | 483 W Seed Farm Road, Sacaton, AZ 85147 | 2005-12-19 |
| 1376532515 | Frances Antone | Physician Assistant | 483 W Seed Farm Rd., Sacaton, AZ 85147 | 2005-10-20 |
| 1538167051 | Xuong Wilkinson | Family Medicine | 483 West Seed Farm Road, Sacaton, AZ 85147 | 2005-07-08 |
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| 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 |
|---|---|---|---|---|
| 1881219095 | Olivia Rae Hoylman | Optometrist | 483 W Seed Farm Rd, Sacaton, AZ 85147-5000 | 2020-06-12 |
| 1225652050 | Sarah David | Optometrist | 483 W Seed Farm Rd, Sacaton, AZ 85147-5000 | 2020-06-08 |
| 1487200143 | Cristina Acevedo | Optometrist | 483 W Seed Farm Rd, Sacaton, AZ 85147-5000 | 2019-08-16 |
| 1902466659 | Bobby Sinsongserm | Optometrist | 483 W Seed Farm Rd, Sacaton, AZ 85147-5000 | 2019-06-15 |
| 1467932277 | Betty Ng | Optometrist | 483 W Seed Farm Rd, Sacaton, AZ 85147 | 2018-08-21 |
| 1821581190 | Christina Nguyen | Optometrist | 483 W Seed Farm Rd, Sacaton, AZ 85147 | 2018-06-12 |
| 1477928505 | Shenita Freeney | Optometrist | 483 Seed Farm Rd., Sacaton, AZ 85147 | 2015-12-01 |
| 1841675592 | Joe Frank Thomas | Optometrist | 483 W Seed Farm Rd, Sacaton, AZ 85147 | 2015-07-23 |
| 1568743250 | Christina Marie Wong | Optometrist | 483 W. Seed Farm Rd., Sacaton, AZ 85147 | 2011-09-08 |
| 1497034342 | Shannon Yvonne Borrego | Optometrist | 483 W. Seed Farm Rd, Sacaton, AZ 85147 | 2011-08-10 |
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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.