| NPI | 1972752814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE MARIE CUCUZZA FALCON President 480-383-9956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AZ 1450) |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2008-09-16 |