NPI | 1750712683 |
---|---|
Former Legal Business Name | SOUTHWEST EYE CENTER |
Entity Type | Organization |
Authorized Contact | ARTHUR D BROOKFIELD Chief Financial Officer 602-598-7488 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Additional Taxonomies | 152WL0500X Optometrist Low Vision Rehabilitation (Licence: AZ 1627) |
Enumeration Date | 2013-12-03 |
Last Update Date | 2024-01-16 |