# ARIZONA EYE INSTITUTE & COSMETIC LASER CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023074291
- **Authorized official:** EMILIO M JUSTO M.D. (PRESIDENT/MEDICAL DIRECTOR)
- **Authorized official phone:** (623) 975-2020

## Contact information

- **Practice address:** 19052 N R H JOHNSON BLVD, SUN CITY WEST, AZ 85375-4401
- **Practice address phone:** (623) 975-2020
- **Practice address fax:** (623) 975-7005
- **Mailing address:** 19052 N R H JOHNSON BLVD, SUN CITY WEST, AZ 85375-4401
- **Mailing address phone:** (623) 975-2020
- **Mailing address fax:** (623) 975-7005

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | OSC3384 | AZ | Yes |

## Other

- **Enumeration date:** 04/25/2006
- **Last updated:** 07/14/2020