NPI 1215077177

Vincent Duane van Houten, OD

Practitioner Optometrist Safford, AZ

Practice location

Address: 620 S Central Ave, Safford, AZ 85546-2647
Phone: (928) 428-0500
Fax: (928) 428-0563

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 1769 (AZ)

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Registry record

NPI: 1215077177
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Feb 2007
Record last updated: 17 May 2022

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.