| NPI | 1225241961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA LYNN CONTRERAS NOGALES Optometrist/Member 520-625-5673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: AZ 37027) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AZ 976) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2023-12-22 |