Organization · NPI-2

152w00000x - Optometrist North Phoenix Eye Care

Optometrist · Phoenix, AZ

NPI number1649411018
StatusActive
Last updated in NPPESMar 16, 2009

Details

NPI
1649411018
Entity type
Organization (NPI-2)
Legal business name
152w00000x - Optometrist North Phoenix Eye Care
Organization subpart
Yes
Enumeration date
Mar 16, 2009
Last updated
Mar 16, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist––Yes

Practice location

19401 N Cave Creek Rd
#7
Phoenix, AZ 85024-1801

Phone 623-229-8185

Mailing address

19401 N Cave Creek Rd
#7
Phoenix, AZ 85024-1801

Phone 623-229-8185

Authorized official

Donald Joseph Siegel
Optometrist/Owner
6235443877

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