BOBBY SINSONGSERM (NPI# 1902466659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902466659 |
| Entity Type | Individual |
| Full Name | BOBBY SINSONGSERM |
| Practice Address |
483 W Seed Farm Rd Sacaton AZ 85147-5000 |
| Mailing Address |
13724 El Espejo Rd La Mirada CA 90638-3718 |
| Practice Telephone | 5205623321 |
| Mailing Telephone | 5624476307 |
| Enumeration Date | 2019-06-15 |
| Last Update Date | 2019-08-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPT-002365 | AZ | Eye and Vision Services Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 13724 El Espejo Rd, La Mirada, CA 906383718 | 5624476307 |
| Street Address |
483 W SEED FARM RD |
| City | SACATON |
| State | AZ |
| Zip Code | 85147-5000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649266883 | Karin B Fisk | Nurse Practitioner | 483 W Seed Farm Rd, Sacaton, AZ 85147-5000 | 2005-09-22 |
| 1639786890 | Juliandra Bailon | Counselor | 483 W Seed Farm Rd, Sacaton, AZ 85147-5000 | 2020-09-30 |
| 1922624535 | Joyce Mary Blair | Counselor | 483 W Seed Farm Rd, Sacaton, AZ 85147-5000 | 2020-06-19 |
| 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 |
| 1962026906 | Candace Wilson | Social Worker | 483 W Seed Farm Rd, Sacaton, AZ 85147-5000 | 2020-06-05 |
| 1154943678 | Joni Delaney | Counselor | 483 W Seed Farm Rd, Sacaton, AZ 85147-5000 | 2020-05-07 |
| 1700406808 | Clara Terrazas | Social Worker | 483 W Seed Farm Rd, Sacaton, AZ 85147-5000 | 2020-04-20 |
| 1326676958 | Debra Lee Cockrell | Counselor | 483 W Seed Farm Rd, Sacaton, AZ 85147-5000 | 2020-03-30 |
| 1295362101 | Adriane Miles | Counselor | 483 W Seed Farm Rd, Sacaton, AZ 85147-5000 | 2020-03-23 |
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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 |
| 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 |
| 1720335003 | Dean Fasciani | Optometrist | 483 W. Seed Farm Rd, Sacaton, AZ 85147-0038 | 2012-08-06 |
| 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.