Whalio Doctors

NPI 1013103175

Optical Design, INC

Organisation Eyewear Supplier Phoenix, AZ

Practice location

Address
1530 W Glendale Ave #101, Phoenix, AZ 85021-8578
Phone
(602) 995-5883
Fax
(602) 995-3365

Authorised official

Name
S C Joiner
Title
Optician
Phone
(602) 995-5883

Registered specialties (2)

Eyewear Supplier Primary
Suppliers Taxonomy 332H00000X
Eyewear Supplier
Suppliers Taxonomy 332H00000X Licence 269 (AZ)

Registry record

NPI
1013103175
Entity type
Organization
NPI issued
21 Sep 2007
Record last updated
21 Sep 2007

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.