DAVID A. TETRAULT, OD, PC (NPI# 1891014619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891014619 |
| Entity Type | Organization |
| Organization Name | DAVID A. TETRAULT, OD, PC |
| Practice Address |
2820 N Campbell Ave Tucson AZ 85719-0801 |
| Practice Telephone | 5203233937 |
| Mailing Telephone | 5203233937 |
| Enumeration Date | 2010-05-18 |
| Last Update Date | 2010-05-18 |
| Authorized Official Name | STACIA A DECKER (VP OF RETAIL) |
| Authorized Official Telephone | 5203276215 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 806 | AZ | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 046070 | 05 |
| Street Address |
2820 N CAMPBELL AVE |
| City | TUCSON |
| State | AZ |
| Zip Code | 85719-0801 |
| 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 | 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 |
|---|---|---|---|---|
| 1275143034 | Kelly Hart | Optometrist | 7111 N Oracle Rd, Tucson, AZ 85704-4331 | 2020-08-06 |
| 1184257347 | John Matthew Gill, Od and Associates | Optometrist | 4500 N. Oracle Road, Suite 423, Tucson, AZ 85705 | 2020-02-17 |
| 1043868912 | Rizwan Jamil | Optometrist | 5860 W Arizona Pavilions Dr Ste 102, Tucson, AZ 85743-7364 | 2019-09-03 |
| 1679126536 | Katelyn Hurliman | Optometrist | 1370 N Silverbell Rd Ste 140, Tucson, AZ 85745-2290 | 2019-07-19 |
| 1134783392 | Stephanie Hilde | Optometrist | 7041 E Tanque Verde Rd, Tucson, AZ 85715-5311 | 2019-04-23 |
| 1174186746 | Nationwide Optometry PC | Optometrist | 9160 S Houghton Rd Ste 140, Tucson, AZ 85747-9736 | 2019-04-18 |
| 1932762861 | Mahdi Hedayat | Optometrist | 1785 W Valencia Rd Unit 101, Tucson, AZ 85746-6511 | 2019-04-16 |
| 1497237408 | Ryan James Dugan | Optometrist | 3601 S 6th Ave Bldg 80, Tucson, AZ 85723-0001 | 2018-09-06 |
| 1194214890 | Joseph Kowalski | Optometrist | 4631 N Oracle Rd Ste 175, Tucson, AZ 85705-1785 | 2018-05-08 |
| 1316453053 | David William Shurtz | Optometrist | 6572 E Grant Rd, Tucson, AZ 85715-3810 | 2017-12-18 |
| 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.