Organization
HIGHLINE EYE CARE, PLLC
Active
Other names
Highline Eye Care & Optical
Organization subpart
No
Provider details
NPI number
Authorized official
LEXI TAYLOR KORTSEN OD (OPTOMETRIST/OWNER)
(928) 240-9214
Entity
Organization
Contact information
Practice address
1600 W UNIVERSITY AVE STE 105&110, FLAGSTAFF, AZ 86001-3114
(928) 814-2579
Mailing address
1600 W UNIVERSITY AVE STE 105, FLAGSTAFF, AZ 86001-3154
(928) 240-9214
(928) 240-9212
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008561
—
AZ
Enumeration date
03/29/2021
Last updated
05/29/2022
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