| |
2855 E Brown Rd Ste 10, Mesa, AZ 85213-4215 | |
(480) 994-5012 | |
(480) 994-9479 |
Full Name | |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 2855 E Brown Rd Ste 10, Mesa, Arizona |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841521697 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
7245 E Osborn Rd, #4, Scottsdale, AZ 85251 Ph: (480) 990-7361 | 2855 E Brown Rd Ste 10, Mesa, AZ 85213-4215 Ph: (480) 994-5012 |