| NPI | 1134354145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOWARD BARRY BACON Partner 480-963-8833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WV0400X Optometrist, Vision Therapy (Licence: AZ 553) |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2009-05-26 |