| NPI | 1780797613 |
|---|---|
| Doing Business As | VALLEY EYECARE CENTER |
| Entity Type | Organization |
| Authorized Contact | LINDSEY M CLYDE Optometrist 602-242-6888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AZ 1522) |
| Additional Taxonomies | 152WV0400X Optometrist, Vision Therapy (Licence: AZ 1522) |
| 156FC0800X Technician/Technologist, Contact Lens (Licence: AZ 1522) | |
| 156FC0801X Technician/Technologist, Contact Lens Fitter (Licence: AZ 1522) | |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2019-09-20 |