JANET ILIDAN (NPI# 1831599539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831599539 |
| Entity Type | Individual |
| Full Name | JANET ILIDAN |
| Practice Address |
101 N Coronado Dr Ste A Sierra Vista AZ 85635-6359 |
| Mailing Address |
5157 Evergreen Dr Sierra Vista AZ 85635-2350 |
| Practice Telephone | 5204591529 |
| Mailing Telephone | 9403370104 |
| Enumeration Date | 2014-08-29 |
| Last Update Date | 2014-08-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 0003050 | CO | Eye and Vision Services Providers |
| Street Address |
101 N CORONADO DR STE A |
| City | SIERRA VISTA |
| State | AZ |
| Zip Code | 85635-6359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235173931 | Tucson Vamc | Clinic/Center | 101 N Coronado Dr Ste A, Building 45006, Sierra Vista, AZ 85635-6359 | 2006-06-15 |
| 1740893304 | Irene Brandi Tan | Optometrist | 101 N Coronado Dr Ste A, Sierra Vista, AZ 85635-6359 | 2020-08-24 |
| 1710599097 | Larry Tran | Optometrist | 101 N Coronado Dr Ste A, Sierra Vista, AZ 85635-6359 | 2020-08-19 |
| 1427617505 | Kathleen Catlan Phan | Optometrist | 101 N Coronado Dr Ste A, Sierra Vista, AZ 85635-6359 | 2019-06-11 |
| 1386126365 | Analysia J Delgadillo | Optometrist | 101 N Coronado Dr Ste A, Sierra Vista, AZ 85635-6359 | 2018-09-05 |
| 1114243342 | Kathryn Jo Weaver | Counselor | 101 N Coronado Dr Ste A, Sierra Vista, AZ 85635-6359 | 2010-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134740640 | Taylor Anne Phelps | Student in an Organized Health Care Education/Training Program | Haven of Sierra Vista LLC, 660 Coronado Drive, Sierra Vista, AZ 85635 | 2020-05-06 |
| 1568001543 | Gp Medicine, Pllc | Family Medicine | 1800 E Wilcox Drive, Sierra Vista, AZ 85635 | 2019-12-23 |
| 1518515212 | Canyon Vista Dental | Dentist | 1993 S Frontage Road, Suite 208, Sierra Vista, AZ 85635 | 2019-08-27 |
| 1225697402 | Kristine Vincent Cruz Angeles | Dentist | 115 Calle Poral, Sierra Vista, AZ 85635 | 2019-06-11 |
| 1700397411 | Vivian Ryu | Social Worker | 2300 E Fry Blvd, #3822, Sierra Vista, AZ 85635 | 2017-10-20 |
| 1750806758 | Rosemary Nduta Kagwanja | Technician | 425 Bernini Avenue, N/a, Sierra Vista, AZ 85635 | 2017-08-10 |
| 1093245789 | Akdhc, LLC | Internal Medicine | 5555 Mesa Verde Dr, Suite 100, Sierra Vista, AZ 85635 | 2017-06-14 |
| 1609304633 | Vincent Guarino | Emergency Medicine | 5700 E, Az-90, Sierra Vista, AZ 85635 | 2017-06-04 |
| 1629506811 | Andrew Tang | Student in an Organized Health Care Education/Training Program | 5700 Arizona 90, Sierra Vista, AZ 85635 | 2017-06-01 |
| 1194259382 | Walik Hargett | Contractor | 800 N. Lenzner Ave Apt 776b, Sierra Vista, AZ 85635 | 2017-04-14 |
| Find all providers in zip 85635 | ||||
| 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 |
|---|---|---|---|---|
| 1164084315 | Zachary Giles Nelson | Optometrist | 440 N Hwy 90 Byp Ste B3, Sierra Vista, AZ 85635-2295 | 2019-07-08 |
| 1275974370 | Somatra Chhoeng | Optometrist | 500 N State Hwy 90 C/o Somatra Chhoeng, Sierra Vista, AZ 85635 | 2013-07-17 |
| 1528307873 | Daynes Optical Inc | Optometrist | 400 W Fry Blvd Ste 9, Sierra Vista, AZ 85635-1760 | 2013-02-06 |
| 1821229725 | Spencer Christian Ray | Optometrist | 1700 S Highway 92, Suite A, Sierra Vista, AZ 85635-5856 | 2009-07-27 |
| 1407070618 | Brian Alan Michaels | Optometrist | 1502 E Fry Blvd, Sierra Vista, AZ 85635-2746 | 2007-04-12 |
| 1003827015 | Lincoln Joseph Daynes | Optometrist | 400 W Fry Blvd, Ste. 9, Sierra Vista, AZ 85635-1758 | 2006-08-11 |
| 1396765897 | Henry G Bogen | Optometrist | 2250 El Mercado Loop, Sierra Vista, AZ 85635-5204 | 2006-07-20 |
| 1922053891 | National Vision, Inc. | Optometrist | 657 N State Highway 90 Byp, Sierra Vista, AZ 85635-2260 | 2006-05-22 |
| 1144217035 | Yvonne Denise Lee | Optometrist | 2325 E Fry Blvd, Sierra Vista, AZ 85635-2713 | 2005-10-05 |
| 1164417846 | Charles Ray Roberts | Optometrist | 1181 E Fry Blvd, Sierra Vista, AZ 85635-2669 | 2005-09-19 |
| Find all providers in SIERRA VISTA | ||||
| City | SIERRA VISTA |
| Zip Code | 85635 |
Please comment or provide details below to improve the information on JANET ILIDAN.
| 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.