| NPI | 1003221185 |
|---|---|
| Doing Business As | MOON VALLEY EYECARE |
| Entity Type | Organization |
| Authorized Contact | JESSE VINCENT DOMINGUEZ President 623-330-8723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AZ AZ1210) |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2015-03-13 |