| NPI | 1215619283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARJUN PATEL Sole Member 480-980-3873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2023-08-01 |
| Last Update Date | 2024-02-22 |