| NPI | 1083809826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK L GRISWOLD Physician/Owner 520-797-9700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2008-03-07 |