Organization · NPI-2
2020 Image Tempe
Optometrist · Tempe, AZ
NPI number1629188479
StatusActive
Last updated in NPPESNov 4, 2011
Details
- NPI
- 1629188479
- Entity type
- Organization (NPI-2)
- Legal business name
- 2020 Image Tempe
- Organization subpart
- Yes
- Enumeration date
- Aug 30, 2006
- Last updated
- Nov 4, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | – | – | Yes |
Other names
- Eyecare Consultants Plc (Former Legal Business Name)
Practice location
307 E Southern AveTempe, AZ 85282
Phone 480-967-5710 · Fax 480-967-2845
Mailing address
307 E Southern AveTempe, AZ 85282
Phone 480-967-5710 · Fax 480-967-2845
Authorized official
Myda Garza
Director Of Operations
4809675710
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