| NPI | 1013652692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA TURENNE Administrator 520-327-5677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2022-04-28 |
| Last Update Date | 2022-10-25 |