| NPI | 1487837654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRETT K GRAMLICH Optometrist/ Owner 480-585-0001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AZ 1049) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AZ 1105) |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2008-11-12 |