| NPI | 1871714667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER CHARLES CARPENTER Optometrist Owner 480-963-7172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AZ 1104) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2008-02-01 |