| Eye Shop Pllc | |
|
21321 E Ocotillo Rd Ste 105, Queen Creek, AZ 85142-5993 | |
| (480) 656-7739 | |
| (480) 656-1637 |
| Full Name | Eye Shop Pllc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 21321 E Ocotillo Rd Ste 105, Queen Creek, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538564984 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1706 (Arizona) | Primary |
| Provider Name | Jared A Shaver |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316178973 PECOS PAC ID: 2365580222 Enrollment ID: I20091113000007 |
| Provider Name | Alma D Yamamoto |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1053624650 PECOS PAC ID: 0648451708 Enrollment ID: I20110222000976 |
| Provider Name | Eric B Vanausdal |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255826681 PECOS PAC ID: 3779831433 Enrollment ID: I20180813001573 |
| Mailing Address | Practice Location Address |
|---|---|
| Eye Shop Pllc 21321 E Ocotillo Rd Ste 105, Queen Creek, AZ 85142-5993 Ph: (480) 656-7739 | Eye Shop Pllc 21321 E Ocotillo Rd Ste 105, Queen Creek, AZ 85142-5993 Ph: (480) 656-7739 |
Lauren Kurowski, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 21321 E Ocotillo Rd Ste 105, Queen Creek, AZ 85142 Phone: 480-656-7739 | |
Brandon Lee Becken, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 21055 E Rittenhouse Rd, Queen Creek, AZ 85142 Phone: 480-457-1958 Fax: 480-457-1960 | |
Visionworks Optometrist Medicare: Not Enrolled in Medicare Practice Location: 21227 S Ellsworth Loop Rd, Ste 102, Queen Creek, AZ 85142 Phone: 480-987-3097 Fax: 480-987-8380 | |
Jared Allen Shaver, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 21321 E Ocotillo Rd Ste 105, Queen Creek, AZ 85142 Phone: 480-656-7739 Fax: 480-656-1637 | |
Joseph Timbre, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1725 W Hunt Highway, Queen Creek, AZ 85243 Phone: 480-358-4180 | |
Dr. Christine Fahmy, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 21321 E Ocotillo Rd Ste 105, Queen Creek, AZ 85142 Phone: 480-656-7739 | |
Darren Elg, O D Llc Optometrist Medicare: Medicare Enrolled Practice Location: 20715 E Ocotillo Rd, Ste 101, Queen Creek, AZ 85142 Phone: 480-987-3400 |