# NORTHERN ARIZONA EYE ASSOCIATES

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

## Provider details

- **NPI number:** 1679539688
- **Authorized official:** DR. ROBERT MAHANTI M.D. (PRESIDENT)
- **Authorized official phone:** (928) 779-7000

## Contact information

- **Practice address:** 900 N SAN FRANCISCO ST, FLAGSTAFF, AZ 86001-3236
- **Practice address phone:** (928) 779-7000
- **Mailing address:** PO BOX 31012, FLAGSTAFF, AZ 86003-1012
- **Mailing address phone:** (928) 779-7000

## Taxonomy

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

## Other

- **Enumeration date:** 04/26/2006
- **Last updated:** 04/25/2008