| NPI | 1134381775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI GIESKE President 480-218-0663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AZ 773) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AZ 210) |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2008-06-25 |