| Axis Eye Center Llc | |
|
2226 W Northern Ave Ste C203 Phoenix AZ 85021-4929 | |
| (602) 942-2020 | |
| (602) 942-2121 |
| Full Name | Axis Eye Center Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2226 W Northern Ave Ste C203, Phoenix, Arizona |
| Authorized Official Name and Position | Aasim Kamal (PROVIDER) |
| Authorized Official Contact | 6029422020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Axis Eye Center Llc Po Box 39148 Phoenix AZ 85069-9148 Ph: (602) 439-6780 | Axis Eye Center Llc 2226 W Northern Ave Ste C203 Phoenix AZ 85021-4929 Ph: (602) 942-2020 |
| NPI Number | 1083911929 |
|---|---|
| Provider Enumeration Date | 02/11/2011 |
| Last Update Date | 03/22/2024 |
| Medicare PECOS PAC ID | 7911181946 |
|---|---|
| Medicare Enrollment ID | O20110414000952 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083911929 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 30886 (Arizona) | Primary |
| Provider Name | Aasim Kamal |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1902895931 PECOS PAC ID: 4183697378 Enrollment ID: I20040816001352 |
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