Provider Demographics
NPI:1942524152
Name:VILLAR-ROMAGUERA, YAMILE LUCIA (OD)
Entity Type:Individual
Prefix:DR
First Name:YAMILE
Middle Name:LUCIA
Last Name:VILLAR-ROMAGUERA
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:YAMILE
Other - Middle Name:
Other - Last Name:VILLAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:5621 E VOLTAIRE AVE
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-3729
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:12605 N TATUM BLVD # A111
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85032-7710
Practice Address - Country:US
Practice Address - Phone:602-494-7336
Practice Address - Fax:480-701-8050
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-16
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC3385152W00000X, 152WC0802X
AZ1854152WC0802X, 152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management