NPI | 1235301896 |
---|---|
Entity Type | Organization |
Authorized Contact | TODD PRATT Office Manager 602-547-3255 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Additional Taxonomies | 152WS0006X Optometrist, Sports Vision |
152WV0400X Optometrist, Vision Therapy | |
Enumeration Date | 2008-03-24 |
Last Update Date | 2008-03-24 |