| NPI | 1144744103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY DE SIMONE Owner 480-893-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WV0400X Optometrist, Vision Therapy (Licence: AZ 0862) |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2022-07-21 |