NPI | 1285247528 |
---|---|
Doing Business As | AZUL VISION |
Entity Type | Organization |
Authorized Contact | DWAYNE KEITH LOGAN Md/CEO 714-399-0678 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology |
Additional Taxonomies | 152W00000X Optometrist |
207WX0009X Ophthalmology, Glaucoma Specialist | |
207WX0107X Ophthalmology, Retina Specialist | |
207WX0120X Ophthalmology, Cornea and External Diseases Specialist | |
207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery | |
Enumeration Date | 2020-08-26 |
Last Update Date | 2024-07-09 |