Organization
JAMES A TAMMARO MD PC
Active
Other names
EYES OF ARIZONA VISION AND SURGERY CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES A TAMMARO (OWNER)
(928) 855-9477
Entity
Organization
Contact information
Practice address
40 CAPRI BLVD, SUITE 102, LAKE HAVASU CITY, AZ 86403-5661
(928) 855-9477
(928) 855-1799
Mailing address
PO BOX 3360, LAKE HAVASU CITY, AZ 86405-3360
(928) 855-9477
(928) 855-1799
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
05-08778
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03C0001024
MEDICARE NSC
AZ
05
—
077182
—
AZ
01
—
AZ0200500
BCBS
AZ
Enumeration date
02/07/2006
Last updated
12/15/2010
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