| NPI | 1063438257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW OCHILTREE Owner 928-753-2106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 207W00000X Ophthalmology |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2024-05-29 |