Organization · NPI-2
A.J Eye Care LLC
Optometrist · Phoenix, AZ
NPI number1952065302
StatusActive
Last updated in NPPESOct 22, 2021
Details
- NPI
- 1952065302
- Entity type
- Organization (NPI-2)
- Legal business name
- A.J Eye Care LLC
- Organization subpart
- No
- Enumeration date
- Oct 22, 2021
- Certification date
- Oct 22, 2021
- Last updated
- Oct 22, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | – | – | Yes |
Practice location
14435 N 7th St Ste 104Phoenix, AZ 85022-4378
Phone 480-485-6403
Mailing address
14435 N 7th St Ste 104Phoenix, AZ 85022-4378
Phone 480-485-6403
Authorized official
Allissun Hoppert
Owner
4804856403
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