Neuro Ophthalmology Ltd | |
1800 E Van Buren St 9th Floor Phoenix AZ 85006-3742 | |
(602) 252-9838 | |
(602) 252-9836 |
Full Name | Neuro Ophthalmology Ltd |
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Speciality | Psychiatry & Neurology |
Location | 1800 E Van Buren St, Phoenix, Arizona |
Authorized Official Name and Position | Sharon Jean Johnstone (OWNER) |
Authorized Official Contact | 6022529838 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Neuro Ophthalmology Ltd 1800 E Van Buren St 9th Floor Phoenix AZ 85006-3742 Ph: (602) 252-9838 | Neuro Ophthalmology Ltd 1800 E Van Buren St 9th Floor Phoenix AZ 85006-3742 Ph: (602) 252-9838 |
NPI Number | 1689772352 |
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Provider Enumeration Date | 09/20/2006 |
Last Update Date | 10/02/2007 |
Medicare PECOS PAC ID | 7618958380 |
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Medicare Enrollment ID | O20040527001077 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689772352 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
Provider Name | Sharon J Johnstone |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1407954167 PECOS PAC ID: 6305827072 Enrollment ID: I20040528000003 |
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