# PHOENIX OPHTHALMOLOGY ASC LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Arizona Ophthalmic Outpatient Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760454557
- **Authorized official:** MR. JEFFREY SNODGRASS (PRESIDENT)
- **Authorized official phone:** (615) 665-1283

## Contact information

- **Practice address:** 300 E OSBORN RD, SUITE 102, PHOENIX, AZ 85012-2347
- **Practice address phone:** (602) 234-8478
- **Practice address fax:** (602) 234-8492
- **Mailing address:** 1A BURTON HILLS BLVD \# L&C, NASHVILLE, TN 37215-6187
- **Mailing address phone:** (615) 240-3820
- **Mailing address fax:** (615) 234-1720

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | OSC0082 | AZ | Yes |

## Other

- **Enumeration date:** 02/06/2006
- **Last updated:** 09/09/2022