Organization
EYEFLYAZ, INC
Active
Other names
Phillips Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN D PHILLIPS OD (OWNER/PRESIDENT)
(520) 515-3937
Entity
Organization
Contact information
Practice address
960 E FRY BLVD, SIERRA VISTA, AZ 85635-2640
(520) 515-3937
(520) 515-3860
Mailing address
960 E FRY BLVD, SIERRA VISTA, AZ 85635-2640
(520) 515-3937
(520) 515-3860
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1061
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1922090984
NPI
AZ
01
—
Z125912
PTAN
—
Enumeration date
11/13/2008
Last updated
01/07/2014
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