| NPI | 1427354422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK CHARLES BUENSUCESO Optometrist 623-980-5496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AZ 1352) |
| Enumeration Date | 2011-02-08 |
| Last Update Date | 2011-06-27 |