NPI | 1902246291 |
---|---|
Doing Business As | HOLT EYE CARE |
Entity Type | Organization |
Authorized Contact | STEVEN ROBERT HOLT O PT Ometrist/Owner 623-824-2591 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: AZ 1305) |
Additional Taxonomies | 152WC0802X Optometrist Corneal and Contact Management (Licence: AZ 1305) |
152WS0006X Optometrist Sports Vision (Licence: AZ 1305) | |
302F00000X Exclusive Provider Organization (Licence: AZ 1305) | |
Enumeration Date | 2013-07-01 |
Last Update Date | 2013-10-10 |