| NPI | 1851992051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TORRENCE WATKINS Owner 602-237-4777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 261QS0132X Clinic/Center Ophthalmologic Surgery |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2020-11-04 |