NPI | 1336175710 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVEN MICHAEL SUNDER President 480-892-8400 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: AZ 62) |
Additional Taxonomies | 152W00000X Optometrist (Licence: AZ 29) |
152W00000X Optometrist (Licence: AZ 1103) | |
152W00000X Optometrist (Licence: AZ 1463) | |
Enumeration Date | 2006-06-25 |
Last Update Date | 2020-08-22 |