| NPI | 1285809913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY QUARANTA Office Manager 480-812-2211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AZ 945) |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2019-01-22 |