Elite Eyecare Center PLLC
Optometrist in Thatcher, AZ. Organization (NPI-2).
NPI number1982102844
StatusActive
Last updated in NPPESJun 11, 2019
Details
- NPI
- 1982102844
- Entity type
- Organization (NPI-2)
- Legal business name
- Elite Eyecare Center PLLC
- Organization subpart
- No
- Enumeration date
- Jan 25, 2018
- Last updated
- Jun 11, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | – | – | Yes |
Practice location
3383 W. Main St.Thatcher, AZ 85552
Phone 928-792-4455 · Fax 928-792-4463
Mailing address
3383 W. Main St.Thatcher, AZ 85552-5558
Phone 928-792-4455 · Fax 928-792-4463
Authorized official
Robert Scott Sellers
Optometrist
9287924455
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