Whalio Doctors

NPI 1114465010

East Valley Glaucoma INC

Organisation Glaucoma Specialist (Ophthalmology) Physician Mesa, AZ

Practice location

Address
6402 E Superstition Springs Blvd STE 104, Mesa, AZ 85206-4391
Phone
(480) 981-3317
Fax
(480) 981-5308
Mailing address
6402 E Superstition Springs Blvd STE 209, Mesa, AZ 85206-4393

Authorised official

Name
Robert C Spurny
Title
Owner
Phone
(480) 981-3317

Registered specialties (2)

Glaucoma Specialist (Ophthalmology) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207WX0009X Licence 15705 (AZ)
Specialist
Other Service Providers Taxonomy 174400000X Licence 15705 (AZ)

Registry record

NPI
1114465010
Entity type
Organization
NPI issued
10 Feb 2017
Record last updated
24 Feb 2021

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.