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10750 W Mcdowell Rd, Bldg. A #100, Avondale, AZ 85392-5960 | |
| (623) 877-3007 | |
| (623) 877-4488 |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 10750 W Mcdowell Rd, Avondale, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912321464 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1638 (Arizona) | Primary |
| Provider Name | Adam J Lee |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1790934842 PECOS PAC ID: 9931259835 Enrollment ID: I20090616000250 |
| Provider Name | Mackenzie S Black |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235548975 PECOS PAC ID: 9638399256 Enrollment ID: I20141002002113 |
| Provider Name | Ryan David Ambrose |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1558711507 PECOS PAC ID: 5193017739 Enrollment ID: I20160630000634 |
| Provider Name | Braden Christian Hirstein |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1760051064 PECOS PAC ID: 5890197990 Enrollment ID: I20210713000344 |
| Mailing Address | Practice Location Address |
|---|---|
10750 West Mcdowell Rd., Bldg. A #100, Avondale, AZ 85392 Ph: (623) 877-3007 | 10750 W Mcdowell Rd, Bldg. A #100, Avondale, AZ 85392-5960 Ph: (623) 877-3007 |
Nita Catt, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1459 N Dysart Rd, Inside Sams Club, Avondale, AZ 85323 Phone: 623-882-3877 Fax: 623-882-3879 | |
Khanh Ngo Od Optometrist Medicare: Not Enrolled in Medicare Practice Location: 13055 W Rancho Santa Fe Blvd, Avondale, AZ 85392 Phone: 623-535-4215 Fax: 623-535-4234 | |
Joshua John Roden, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 10000 W Mcdowell Rd, Avondale, AZ 85392 Phone: 602-882-8711 | |
Dr. Beth Ann Pyle-smith, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 13065 W Mcdowell Rd, Ste B105, Avondale, AZ 85323 Phone: 623-845-1400 Fax: 623-845-1401 | |
Mackenzie Sheerin Black, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 10750 W Mcdowell Rd, A100, Avondale, AZ 85392 Phone: 623-877-3007 Fax: 623-877-4488 | |