| NPI | 1689975476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAINESH C BHAKTA President/Optometrist 602-315-5201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AZ 1025) |
| Enumeration Date | 2010-11-10 |
| Last Update Date | 2010-11-10 |