NPI 1477736700

Vision 21 Managed Eye Care of Tampa Bay, INC

Organisation Exclusive Provider Organization Phoenix, AZ

Practice location

Address: 3033 N 44th St STE 270, Phoenix, AZ 85018-7226
Phone: (602) 912-9393
Fax: (602) 381-8994

Authorised official

Name: Mark Dalton
Title: President
Phone: (602) 912-9393

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 94171 (AZ)

Other Exclusive Provider Organization providers in Arizona →

Registry record

NPI: 1477736700
Entity type: Organization
NPI issued: 10 Dec 2007
Record last updated: 10 Dec 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.