| NPI | 1144354515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES FERRIN Manager 928-428-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2022-05-02 |