| NPI | 1194268391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THIRIPURASUNDARY PUGAZHENDHI Practitioner 520-396-8040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AZ 46811) |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2016-11-21 |