Desert Family Eye Care, LLC
Optometrist in Chandler, AZ. Organization (NPI-2).
NPI number1366089864
StatusActive
Last updated in NPPESDec 3, 2019
Details
- NPI
- 1366089864
- Entity type
- Organization (NPI-2)
- Legal business name
- Desert Family Eye Care, LLC
- Organization subpart
- No
- Enumeration date
- Dec 3, 2019
- Last updated
- Dec 3, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | – | – | Yes |
Practice location
590 N Alma School Rd Ste 17Chandler, AZ 85224-4332
Phone 480-821-2020
Mailing address
1356 S Gilbert Rd Ste B3Mesa, AZ 85204-6077
Authorized official
Destin D Whipple
Optometrist
4808212020
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