| Optical Intuitions | |
|
9855 S Priest Dr Suite 101 Tempe AZ 85284-3605 | |
| (480) 785-4804 | |
| (480) 940-1832 |
| Full Name | Optical Intuitions |
|---|---|
| Speciality | Clinic/Center |
| Location | 9855 S Priest Dr, Tempe, Arizona |
| Authorized Official Name and Position | Amanda S Misinco (SOLE MEMBER) |
| Authorized Official Contact | 4807854804 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Optical Intuitions 2206 N 24th St Mesa AZ 85213-2245 Ph: (480) 478-9562 | Optical Intuitions 9855 S Priest Dr Suite 101 Tempe AZ 85284-3605 Ph: (480) 785-4804 |
| NPI Number | 1730478389 |
|---|---|
| Provider Enumeration Date | 04/05/2011 |
| Last Update Date | 12/03/2012 |
| Medicare PECOS PAC ID | 4688858848 |
|---|---|
| Medicare Enrollment ID | O20110412000996 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730478389 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 1686 (Arizona) | Primary |
| Provider Name | Amanda S Misinco |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1477781516 PECOS PAC ID: 2668656828 Enrollment ID: I20110412001020 |
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