MEDICARE: SEVILLE EYE CENTER LLC

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
1	152W00000X	Optometrist	AZ01104	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1750455234
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SEVILLE EYE CENTER LLC

Provider Business Mailing Address
First Line	:	3336 E CHANDLER HEIGHTS RD
Second Line	:	BLDG A STE 104
City	:	GILBERT
State	:	AZ
Zip	:	85298-4259
Country	:	US
Telephone Number	:	480-279-3937
Fax Number	:	480-889-2948

Provider Business Practice Location Address
First Line	:	3336 E CHANDLER HEIGHTS RD
Second Line	:	BLDG A STE 104
City	:	GILBERT
State	:	AZ
Zip	:	85298-4259
Country	:	US
Telephone Number	:	480-279-3937
Fax Number	:	480-889-2948

Authorized Official
Title or Position	:	OPTOMETRIST
Name	:	CHRISTOPHER C CARPENTER
Credential	:	O.D.
Telephone Number	:	480-279-3937

Provider Enumeration Date	:	11/17/2006
Last Update Date	:	05/17/2010

Similar Medicare Providers

1467430397 — DR. ROBERT B. GILES O.D.
Practice Location Address:

3336 E CHANDLER HEIGHTS RD , BLDG A, SUITE 104
GILBERT, AZ
85298-4259

Practice Phone: 480-279-3937
Practice Fax:

1235198607 — DAVID M VALENZUELA M.D.
Practice Location Address:

3336 E CHANDLER HEIGHTS RD , BLDG. A, SUITE 101
GILBERT, AZ
85298-4259

Practice Phone: 480-412-5900
Practice Fax: 480-890-2997

1538129200 — JASON J CHENG M.D.
Practice Location Address:

3336 E CHANDLER HEIGHTS RD , BLDG. 1, SUITE 101
GILBERT, AZ
85298-4259

Practice Phone: 480-412-5900
Practice Fax: 480-890-2997

1700826526 — LARRY ALLEN GRUVER MPT,ATC
Practice Location Address:

3336 E CHANDLER HEIGHTS RD , SUITE 126
GILBERT, AZ
85298-4259

Practice Phone: 480-840-6125
Practice Fax: 480-840-6122

1780711465 — SUSAN SUNA JUNG YIN D.O.
Practice Location Address:

3336 E CHANDLER HEIGHTS RD , BUILDING 6 SUITE 132
GILBERT, AZ
85298-4259

Practice Phone: 480-460-4949
Practice Fax: 480-460-5858

1609100700 — AN ELEGANT SMILE P.C.
Practice Location Address:

3336 E CHANDLER HEIGHTS RD BLDG 1
GILBERT, AZ
85298-4259

Practice Phone: 480-840-6556
Practice Fax: 480-840-6566

Directions to “SEVILLE EYE CENTER LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.