Organization · NPI-2

Desert Eye Design, LLC

Technician/Technologist, Optician · Tucson, AZ

NPI number1891812368
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1891812368
Entity type
Organization (NPI-2)
Legal business name
Desert Eye Design, LLC
Organization subpart
No
Enumeration date
Mar 22, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
156FX1800X Technician/Technologist, Optician––Yes

Practice location

1110 N El Dorado Pl
Tucson, AZ 85715-4606

Phone 520-721-9399 · Fax 520-547-8628

Mailing address

1110 N El Dorado Pl
Tucson, AZ 85715-4606

Phone 520-721-9399 · Fax 520-547-8628

Authorized official

George Michael Boone
Member
5207219399

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