Organization · NPI-2
Dhhs-Phs, Ihs Tucson Area, Ihs Tucson San Xavier Clinic
Technician/Technologist, Optometric Assistant · Tucson, AZ
NPI number1124081187
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1124081187
- Entity type
- Organization (NPI-2)
- Legal business name
- Dhhs-Phs, Ihs Tucson Area, Ihs Tucson San Xavier Clinic
- Organization subpart
- No
- Enumeration date
- Apr 10, 2006
- Last updated
- Sep 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156FX1201X | Technician/Technologist, Optometric Assistant | – | – | Yes |
| 152W00000X | Optometrist | – | – | |
| 156FX1202X | Technician/Technologist, Optometric Technician | – | – |
Other names
- San Xavier Clinic (Other Name)
Practice location
7900 S J Stock RdTucson, AZ 85746-7012
Phone 520-295-2427 · Fax 520-295-2611
Mailing address
7900 S J Stock RdTucson, AZ 85746-7012
Phone 520-295-2427 · Fax 520-295-2611
Authorized official
Kurt Priessman
Accounting And Budget Officer
5202952427
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