NPI 1679761159

Bobby J Pettit

Practitioner Optician Glendale, AZ

Practice location

Address: 5830 W Thunderbird Rd STE B5, Glendale, AZ 85306-4655
Phone: (602) 841-7886

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X Licence 644 (AZ)

Other Technician/Technologist providers in Arizona →

Registry record

NPI: 1679761159
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Oct 2007
Record last updated: 9 Oct 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.