NPI 1043391451

Stacie L Westen OD PLLC

Organisation Optometrist Glendale, AZ

Practice location

Address: 5605 W Northern Ave, Glendale, AZ 85301-1332
Phone: (623) 934-6917
Mailing address: 5122 E Shea Blvd APT. 1088, Scottsdale, AZ 85254-4622

Authorised official

Name: Stacie Westen
Title: President
Phone: (623) 824-4351

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 1456 (AZ)

Other Optometrist providers in Arizona →

Registry record

NPI: 1043391451
Entity type: Organization
NPI issued: 19 Oct 2006
Record last updated: 25 Sep 2009

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.