Organization · NPI-2
Acuvision INC.
Technician/Technologist, Optician · Tempe, AZ
NPI number1871775973
StatusActive
Last updated in NPPESNov 29, 2007
Details
- NPI
- 1871775973
- Entity type
- Organization (NPI-2)
- Legal business name
- Acuvision INC.
- Organization subpart
- No
- Enumeration date
- Nov 29, 2007
- Last updated
- Nov 29, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156FX1800X | Technician/Technologist, Optician | 286 | AZ | Yes |
Other names
- Lakeshore Optical (Doing Business As)
Practice location
1726 E Southern AveSuite 6
Tempe, AZ 85282-5686
Phone 480-839-3711 · Fax 480-456-3359
Mailing address
1726 E Southern AveSuite 6
Tempe, AZ 85282-5686
Phone 480-839-3711 · Fax 480-456-3359
Authorized official
Robert Sisson Busch
President
4808393711
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