| NPI | 1013043389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH WILLIAM O'DANIEL President 480-945-9971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AZ AZ 0694) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2020-08-22 |