NPI | 1013141399 |
---|---|
Former Legal Business Name | OPTICAL EXPRESSIONS INC |
Entity Type | Organization |
Authorized Contact | LAURIE SHAPIRO Owner/Member/Partner 602-254-3169 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: AZ 1480) |
Additional Taxonomies | 152WC0802X Optometrist Corneal and Contact Management (Licence: AZ 96003772) |
Enumeration Date | 2009-05-14 |
Last Update Date | 2016-01-12 |