Eye Care for Kids Arizona Chapter INC

NPI #1639723471 in Phoenix, Arizona

Provider Information

NPI Number: 1639723471
Entity Type: Organization
Organization Name: Eye Care for Kids Arizona Chapter INC
Subpart: Yes (part of a larger organization)
Parent Organization: EYE CARE FOR KIDS
Primary Specialty: Optometrist
Enumeration Date: Jul 30, 2019
Last Updated: Jul 30, 2019

Practice Location

Address: 6615 N 39TH AVE
City: Phoenix
State: Arizona
ZIP Code: 85019-1334
Phone: (801) 285-5443

Authorized Official

Name: MR. JOSEPH G CARBONE, ABOC, NCLC
Title: EXECUTIVE DIRECTOR
Phone: (801) 285-5443

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician/Technologist - Contact Lens — Contact Lens	156FC0800X
Technician/Technologist - Contact Lens Fitter — Contact Lens Fitter	156FC0801X
Eyewear Supplier	332H00000X
Optometrist	152W00000X	Primary

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