NPI 1003221185

Nicolex LLC

Organisation Optometrist Phoenix, AZ

Practice location

Address: 14435 N 7th St STE 104, Phoenix, AZ 85022-4371
Phone: (602) 993-2727
Fax: (602) 449-0681

Authorised official

Name: Jesse Vincent Dominguez
Title: President
Phone: (623) 330-8723

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence AZ1210 (AZ)

Other Optometrist providers in Arizona →

Registry record

NPI: 1003221185
Entity type: Organization
NPI issued: 26 Jun 2014
Record last updated: 13 Mar 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.