Organization
UNIVERSITY OPTOMETRY, PLLC
Active
Other names
AZ Vision-Tucson Optometry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACOB W HISCOX OD (OWNER)
(520) 325-8700
Entity
Organization
Contact information
Practice address
1700 E FORT LOWELL RD STE 103, TUCSON, AZ 85719-2395
(520) 325-8700
(520) 462-8730
Mailing address
1700 E FORT LOWELL RD STE 103, TUCSON, AZ 85719-2395
(520) 325-8700
(520) 462-8730
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1643
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z141361
—
AZ
Enumeration date
10/19/2017
Last updated
03/11/2022
Update your record
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