NPI | 1750455234 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTOPHER C CARPENTER Optometrist 480-279-3937 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: AZ AZ01104) |
Enumeration Date | 2006-11-17 |
Last Update Date | 2010-05-17 |