Mountainview Vision Center Pc | |
1701 N Stockton Hill Rd Ste D, Kingman, AZ 86401-6600 | |
(928) 718-1009 | |
Not Available |
Full Name | Mountainview Vision Center Pc |
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Type | Facility |
Speciality | Optometrist |
Location | 1701 N Stockton Hill Rd Ste D, Kingman, Arizona |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225774524 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Richard W Bullen |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1811565252 PECOS PAC ID: 7214333152 Enrollment ID: I20210901001657 |
Mailing Address | Practice Location Address |
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Mountainview Vision Center Pc 1701 N Stockton Hill Rd Ste D, Kingman, AZ 86401-6600 Ph: () - | Mountainview Vision Center Pc 1701 N Stockton Hill Rd Ste D, Kingman, AZ 86401-6600 Ph: (928) 718-1009 |
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