| NPI | 1245536564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH MARGARET EVANS Owner/Licensed O PT Ician 480-232-0380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Licence: AZ 1076E) |
| Enumeration Date | 2011-02-03 |
| Last Update Date | 2011-03-18 |