| NPI | 1053035493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT H BULLINGTON President 602-266-6888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 207W00000X Ophthalmology |
| Enumeration Date | 2022-09-29 |
| Last Update Date | 2022-09-29 |