| NPI | 1235672858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SELVIN GNANAKKAN Optometrist/President 602-770-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management |
| 152WS0006X Optometrist, Sports Vision | |
| 207W00000X Ophthalmology | |
| Enumeration Date | 2016-11-30 |
| Last Update Date | 2016-11-30 |