EYE BOUTIQUE OF SEDONA, PLLC (NPI# 1669802013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669802013 |
| Entity Type | Organization |
| Organization Name | EYE BOUTIQUE OF SEDONA, PLLC |
| Practice Address |
100 Verde Valley School Rd Suite 114 Sedona AZ 86351-9053 |
| Mailing Address |
80 High View Dr Sedona AZ 86351-6961 |
| Practice Telephone | 9282399901 |
| Practice Fax Number | 9282399902 |
| Mailing Telephone | 9283010457 |
| Enumeration Date | 2013-11-22 |
| Last Update Date | 2013-11-22 |
| Authorized Official Name | CAROLYN JEANNE MARTIN CHANG (SOLE MEMBER) |
| Authorized Official Telephone | 9283010457 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1467 | AZ | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| INDIVIDUAL NPI | 1255304754 | 01 | |
| AZ | 612863 | 05 |
| Street Address |
100 VERDE VALLEY SCHOOL RD SUITE 114 |
| City | SEDONA |
| State | AZ |
| Zip Code | 86351-9053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932140894 | Southwestern Eye Center Ltd | Durable Medical Equipment & Medical Supplies | 100 Verde Valley School Rd, #105, Sedona, AZ 86351-9053 | 2006-06-09 |
| 1962741314 | Red Rock Chiropractic | Chiropractor | 100 Verde Valley School Rd, Suite 110, Sedona, AZ 86351-9053 | 2013-02-05 |
| 1073835757 | Steven Cox | Chiropractor | 100 Verde Valley School Rd, Ste110, Sedona, AZ 86351-9053 | 2010-02-22 |
| 1093837593 | Mittie Anna Tollefson | Hearing Instrument Specialist | 100 Verde Valley School Rd, Ste 105, Sedona, AZ 86351-9053 | 2007-04-04 |
| 1114033107 | Sedona Grocery, LLC | Pharmacy | 100 Verde Valley School Rd, Sedona, AZ 86351 | 2006-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144645391 | Southwestern Eye Center Ltd | Optometrist | 100 Verde Valley Road, Ste 114, Sedona, AZ 86351 | 2014-02-25 |
| 1033303185 | Julie A Leader | Nurse Practitioner | 275 Verde Valley School Rd, Sedona, AZ 86351 | 2007-08-31 |
| 1659593580 | Robert R Easton | Counselor | 6560 Rt. 179, Suite 204, Sedona, AZ 86351 | 2007-05-02 |
| 1851445746 | William Howard Johnson | Psychologist | 380 Oak Creek Drive, Sedona, AZ 86351 | 2007-01-22 |
| 1689746653 | Cynthia A Dodge | Psychologist | Ste 204, 6560 Rte 179, Sedona, AZ 86351 | 2006-11-15 |
| 1316020480 | Natalie H Rockwell | Nurse Practitioner | 6446 State Route 179, Suite 207b, Sedona, AZ 86351 | 2006-10-23 |
| 1457381295 | Rta Hospice, LLC | Hospice, Inpatient | 70 Bell Rock Plaza, Sedona, AZ 86351 | 2006-07-04 |
| 1255304754 | Carolyn J Martin | Optometrist | 100 Verde Valley School Road, Suite 114, Sedona, AZ 86351 | 2006-02-07 |
| 1285997452 | Susan Kay Ramirez | Occupational Therapist | 505 Jacks Canyon Rd, Sedona, AZ 86351 | 2012-06-21 |
| 1578050746 | Circle of Life Alzheimer's Homes | Assisted Living Facility | 778 Crown Ridge Rd, Sedona, AZ 86351-6304 | 2018-04-13 |
| Find all providers in zip 86351 | ||||
| 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 |
|---|---|---|---|---|
| 1720574619 | Kendra Ivy | Optometrist | 95 Soldiers Pass Rd Ste A1, Sedona, AZ 86336-4781 | 2018-07-03 |
| 1144645391 | Southwestern Eye Center Ltd | Optometrist | 100 Verde Valley Road, Ste 114, Sedona, AZ 86351 | 2014-02-25 |
| 1114964939 | Sedona Eye Care PC | Optometrist | 95 Soldiers Pass Road, Ste A1, Sedona, AZ 86336-4781 | 2006-06-01 |
| 1255304754 | Carolyn J Martin | Optometrist | 100 Verde Valley School Road, Suite 114, Sedona, AZ 86351 | 2006-02-07 |
| 1477735975 | Don Peter Sheer | Optometrist | 95 Soldiers Pass Rd, Suite A1, Sedona, AZ 86336-4781 | 2007-11-27 |
| 1447452495 | Serge W Wright | Optometrist | 95 Soldiers Pass Rd, Suite A1, Sedona, AZ 86336-4781 | 2007-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326653528 | Kelsey Harraghy | Optometrist | 7700 W Arrowhead Towne Ctr Ste 1136, Glendale, AZ 85308-0926 | 2020-09-14 |
| 1831701218 | West Point Optical Group | Optometrist | 24775 N. Pleasant Pkwy, Peoria, AZ 85383 | 2020-08-18 |
| 1922610302 | West Point Optical Group | Optometrist | 10706 E Point Twenty-two Blvd, #107, Mesa, AZ 85212 | 2020-08-18 |
| 1093326688 | West Point Optical | Optometrist | 15681 N Hayden Rd Ste 115, Scottsdale, AZ 85260-1959 | 2020-08-17 |
| 1275143034 | Kelly Hart | Optometrist | 7111 N Oracle Rd, Tucson, AZ 85704-4331 | 2020-08-06 |
| 1689283830 | Kelsie Stevens | Optometrist | 6815 N 19th Ave Ste 130, Phoenix, AZ 85015-1135 | 2020-07-23 |
| 1053939306 | Corey Dunlop | Optometrist | 1025 S Power Rd Ste 102, Mesa, AZ 85206-5240 | 2020-07-13 |
| 1134747801 | National Vision Inc | Optometrist | 1838 W Bell Rd, Phoenix, AZ 85023-3480 | 2020-07-09 |
| 1144848912 | Miranda Hueners | Optometrist | 2040 E Rio Salado Pkwy Ste 120, Tempe, AZ 85281-5185 | 2020-07-08 |
| 1770109282 | Nathan Jones | Optometrist | 6135 N 35th Ave Ste 139, Phoenix, AZ 85017-1953 | 2020-06-20 |
| Find all providers with the same taxonomy | ||||
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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.