| NPI | 1235114166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA L TURENNE Administrator 520-327-5677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2022-09-29 |