Individual
DR. TYRONE JOHN FAVIS II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2500 E VAN BUREN ST, PHOENIX, AZ 85008-6037
(602) 559-4606
Mailing address
4333 E BROOKWOOD CT, PHOENIX, AZ 85048-8816
(407) 625-1930
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046010704
IL
152W00000X
Optometrist
Primary
OPT001951
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/28/2011
Last updated
02/03/2026
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