TRITON CARE SYSTEMS PLLC (NPI# 1326672221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326672221 |
| Entity Type | Organization |
| Organization Name | TRITON CARE SYSTEMS PLLC |
| Practice Address |
3155 Stillwater Dr Ste A Prescott AZ 86305-7172 |
| Practice Telephone | 9282271738 |
| Mailing Telephone | 9282271738 |
| Enumeration Date | 2020-02-28 |
| Last Update Date | 2020-02-28 |
| Authorized Official Name | GARY LEE MORGAN (OWNER) |
| Authorized Official Telephone | 6236405390 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NPI TYPE 1 | 1760485874 | 01 |
| Other Name | Type Code |
|---|---|
| TRITON EYE CARE | Doing Business As Name - Organization |
| Street Address |
3155 STILLWATER DR STE A |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86305-7172 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972005395 | Granite View Adult Care Home LLC | Assisted Living Facility | 7105 Williamson Valley Road, Prescott, AZ 86305 | 2018-03-01 |
| 1215468095 | Valerie Williams | Occupational Therapist | 926 S. Hinman Dr., Prescott, AZ 86305 | 2017-03-23 |
| 1174073837 | Caspian Gleam Medical Center LLC | Clinic/Center | 3130 Stillwater Drive, Suite B, Prescott, AZ 86305 | 2016-10-06 |
| 1114388634 | Marla Beth Perkins | Speech-Language Pathologist | 3160 Stillwater Dr., Prescott, AZ 86305 | 2016-03-10 |
| 1790159853 | Michele A. Bibeau, D.d.s. | Dentist | 1058 Fair Street, Suite A, Prescott, AZ 86305 | 2015-11-30 |
| 1609264837 | Integrative Pain Centres of Prescott | Pain Medicine | 3769 Crossings Drive, Suite B, Integrative Pain Centres of Prescott, Prescott, AZ 86305 | 2014-12-22 |
| 1649697251 | Sharon Marilyn Jackson | Counselor | 3636 Crossings Drive, Prescott, AZ 86305 | 2014-03-20 |
| 1215351259 | Stefanie Maneval | Registered Nurse | 900 Iron Springs Rd, Prescott, AZ 86305 | 2014-02-11 |
| 1508207523 | Recovery In The Pines, LLC | Community/Behavioral Health | 919 12th Place #13, Prescott, AZ 86305 | 2013-07-08 |
| 1871857359 | Neal Herbert Segovia Cabaluna | Internal Medicine | 3773 Crossings Dr Ste C, Prescott, AZ 86305 | 2012-06-28 |
| Find all providers in zip 86305 | ||||
| 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 |
|---|---|---|---|---|
| 1851816169 | Vision Source Prescott, Ltd. | Optometrist | 1435 N Acres Rd Ste 700, Prescott, WI 54021-7053 | 2017-08-08 |
| 1740705037 | Lauren West | Optometrist | 980 Willow Creek Rd Ste 202, Prescott, AZ 86301-1616 | 2017-08-07 |
| 1780989467 | Amy H Foreste Pllc | Optometrist | 3400 Gateway Blvd, Prescott, AZ 86303-6848 | 2011-01-11 |
| 1144400599 | Monica Rae Stotler | Optometrist | 1951 Commerce Center Cir, Unit A, Prescott, AZ 86301-7418 | 2007-11-13 |
| 1811182264 | Rodney W Bauer | Optometrist | 3050 Highway 69, Suite A, Prescott, AZ 86301 | 2007-09-10 |
| 1922299320 | Miranda Optometry, P. C. | Optometrist | 720 N Montezuma St Ste C, Prescott, AZ 86301-2068 | 2007-08-09 |
| 1710007711 | Kenneth Walter Williams | Optometrist | 3250 Gateway Blvd, #152, Prescott, AZ 86303-6849 | 2007-03-31 |
| 1851418719 | Todd G. Geiler | Optometrist | 1000 Willow Creek Rd Ste J, Prescott, AZ 86301-1645 | 2007-03-24 |
| 1518011527 | Dr Rod Bauer Optometry & Contact Lenses Ltd | Optometrist | 3050 Hwy 69, Suite A, Prescott, AZ 86301 | 2007-01-23 |
| 1083787030 | Patrick Allen Willer | Optometrist | 3911 E State Route 69, Prescott, AZ 86301-6717 | 2006-11-16 |
| Find all providers in PRESCOTT | ||||
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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.