Organization · NPI-2

Ophthalmic Consultants Of Arizona, LLC

Clinic/Center · Prescott Valley, AZ

NPI number1366077927
StatusActive
Last updated in NPPESFeb 19, 2021

Details

NPI
1366077927
Entity type
Organization (NPI-2)
Legal business name
Ophthalmic Consultants Of Arizona, LLC
Organization subpart
No
Enumeration date
Mar 4, 2020
Certification date
Feb 19, 2021
Last updated
Feb 19, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Other names

  • Yavapai Eye Care Surgery Center (Doing Business As)

Practice location

7840 E State Route 69 Ste A5a
Prescott Valley, AZ 86314-2280

Phone 928-775-9393 · Fax 928-772-1279

Mailing address

2820 N Glassford Hill Rd Ste 101
Prescott Valley, AZ 86314-2256

Phone 928-771-9000

Other practice locations

5374 N Hondo Dr
Prescott Valley, AZ 86314-9343

Phone 928-775-9393 · Fax 928-772-1279

Authorized official

Jared G Smedley
Member
9287759393

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Clinic/Center providers in Prescott Valley, AZ