| |
3223 N Windsong Dr, Prescott Valley, AZ 86314-1222 | |
(928) 778-3950 | |
(928) 778-3999 |
Full Name | |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 3223 N Windsong Dr, Prescott Valley, Arizona |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932540119 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (Arizona) | Secondary |
207W00000X | Ophthalmology | (Arizona) | Primary |
Mailing Address | Practice Location Address |
---|---|
1680 Willow Creek Rd, Prescott, AZ 86301-1108 Ph: (928) 778-3950 | 3223 N Windsong Dr, Prescott Valley, AZ 86314-1222 Ph: (928) 778-3950 |