| NPI | 1770838203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN L HADLOCK Ocularist/Owner 602-254-3973 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-07-20 |
| Last Update Date | 2012-07-20 |