| NPI | 1902175540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVA TAKACS Optometrist/Owner/President 520-241-9522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: AZ 1614) |
| Enumeration Date | 2011-12-28 |
| Last Update Date | 2011-12-28 |