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NPI Code Detail

MEDICARE: DR. JENNIFER VALENTE-CAYWOOD O.D.

MEDICARE: DR. JENNIFER VALENTE-CAYWOOD O.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometristTPOP66FL
2152W00000XOptometrist1460AZ

General Provider Information

NPI Number : 1649267055
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JENNIFER VALENTE-CAYWOOD O.D.
Provider Business Mailing Address
First Line : 10269 E GRAY HAWK DR
Second Line :
City : TUCSON
State : AZ
Zip : 85730-6115
Country : US
Telephone Number : 520-820-8176
Fax Number : 520-263-1269
Provider Business Practice Location Address
First Line : 2312 N ROSEMONT BLVD STE 103
Second Line :
City : TUCSON
State : AZ
Zip : 85712-6114
Country : US
Telephone Number : 520-261-2563
Fax Number : 520-263-1269
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2005
Last Update Date : 06/10/2021

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