| NPI | 1366986622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINA LUKSCH Owner 480-963-3221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist Optician (Licence: AZ 2631I) |
| Enumeration Date | 2016-12-06 |
| Last Update Date | 2016-12-06 |