ALVERNON OPTICAL, INC. (NPI# 1730206004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730206004 |
| Entity Type | Organization |
| Organization Name | ALVERNON OPTICAL, INC. |
| Practice Address |
2894 N Campbell Ave Tucson AZ 85719-2876 |
| Practice Telephone | 5203233937 |
| Practice Fax Number | 5203233938 |
| Mailing Telephone | 5203233937 |
| Mailing Fax Number | 5203233938 |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | STACIA A DECKER (VP OF RETAIL) |
| Authorized Official Telephone | 5203276215 |
| Authorized Official Credential | LDO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | 831 | AZ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 406175 | 05 | |
| AZ | 0328860005 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356468755 | Alvernon Optical, Inc. | Eyewear Supplier (Equipment, not the service) | 1212 E 32nd St, Silver City, NM 88061-7229 | 2007-03-23 |
| 1366569766 | Alvernon Optical, Inc. | Eyewear Supplier (Equipment, not the service) | 4747 E Sunrise Dr, Tucson, AZ 85718-8500 | 2007-03-23 |
| 1972614584 | Alvernon Optical, Inc. | Eyewear Supplier (Equipment, not the service) | 440 N Alvernon Way, Suite 101, Tucson, AZ 85711-1958 | 2006-08-31 |
| 1194842591 | Alvernon Optical, Inc. | Eyewear Supplier (Equipment, not the service) | 101 S La Canada Dr Ste 69, Green Valley, AZ 85614-2665 | 2007-03-23 |
| 1629195029 | Alvernon Optical, Inc. | Eyewear Supplier (Equipment, not the service) | 7123 E Tanque Verde Rd, Tucson, AZ 85715-3431 | 2007-03-23 |
| 1528185550 | Alvernon Optical, Inc. | Eyewear Supplier (Equipment, not the service) | 6987 N Oracle Rd, Tucson, AZ 85704-4224 | 2007-03-23 |
| Street Address |
2894 N CAMPBELL AVE |
| City | TUCSON |
| State | AZ |
| Zip Code | 85719-2876 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114038692 | David Tetrault | Optometrist | 2894 N Campbell Ave, Tucson, AZ 85719-2876 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649813635 | Ishani Ravindra Deo | Psychologist | 1051 E Mabel St, Tucson, AZ 85719 | 2019-10-22 |
| 1235793100 | Jacquelyn Christine Wagner | Pediatrics | 1625 N Campbell, Tucson, AZ 85719 | 2019-04-26 |
| 1831652189 | Derek Allan Hatfield | Emergency Medicine | 1625 N Campbell Ave., Tucson, AZ 85719 | 2019-04-12 |
| 1053874305 | Travis Patrick Martin | Emergency Medicine | 1625 N. Campbell Ave, Tucson, AZ 85719 | 2019-04-12 |
| 1245793504 | Martin Cisneroz | Emergency Medicine | 1625 North Campbell Avenue, Tucson, AZ 85719 | 2019-04-12 |
| 1174086722 | Sarah Joy Ring | Emergency Medicine | 1625 N. Campbell Ave., Tucson, AZ 85719 | 2019-04-10 |
| 1790245520 | Akash M Doshi | Student in an Organized Health Care Education/Training Program | 3838 N Campbell Avenue, Bldg 2, Tuscon, AZ 85719 | 2019-03-20 |
| 1942773668 | Jeffery Roy Small | Massage Therapist | 3607 N Vine, Tucson, AZ 85719 | 2019-01-04 |
| 1114434180 | Elizabeth Irene Welch | Behavioral Analyst | 1430 E Fort Lowell Rd Ste 100, Tucson, AZ 85719 | 2017-12-29 |
| 1477076255 | Medavail Pharmacy Inc. | Pharmacy | 1430 E Fort Lowell Rd Ste 120, Tucson, AZ 85719 | 2017-07-24 |
| Find all providers in zip 85719 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114378528 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 5850 E Broadway Blvd, Tucson Park Place-lc Macy's, Tucson, AZ 85711-3902 | 2016-06-27 |
| 1215295209 | Us Vision Optical Inc. | Eyewear Supplier (Equipment, not the service) | 5265 S Calle Santa Cruz, Tucson, AZ 85706-3962 | 2012-04-26 |
| 1962793612 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 9615 E Old Spanish Trail, Tucson, AZ 85748-7540 | 2011-04-29 |
| 1134427164 | Catalina Eye Care PC | Eyewear Supplier (Equipment, not the service) | 4021 E Sunrise Dr, Ste 121, Tucson, AZ 85718-4332 | 2011-02-28 |
| 1104075050 | Tom Sowash Od & Associates P C | Eyewear Supplier (Equipment, not the service) | 5271 S Calle Santa Cruz, Tucson, AZ 85706-3557 | 2008-09-16 |
| 1962692186 | Essilor Laboratories of America, Inc | Eyewear Supplier (Equipment, not the service) | 3844 E 5th St, Tucson, AZ 85716-5145 | 2007-07-25 |
| 1366569766 | Alvernon Optical, Inc. | Eyewear Supplier (Equipment, not the service) | 4747 E Sunrise Dr, Tucson, AZ 85718-8500 | 2007-03-23 |
| 1154477883 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 3785 N. Oracle Road, Tucson, AZ 85705 | 2007-01-26 |
| 1043366586 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 4500 N Oracle Rd Ste 423, Tucson, AZ 85705 | 2007-01-26 |
| 1124173604 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 4545 N Oracle Rd Ste 101, Tucson, AZ 85705-1781 | 2007-01-24 |
| 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.