| NPI | 1962757344 |
|---|---|
| Doing Business As | EDGEWATER EYECARE |
| Entity Type | Organization |
| Authorized Contact | JOHNEEN E GILICH Owner 602-628-3464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2012-07-20 |
| Last Update Date | 2021-01-28 |