Organization
NATIONAL OPTICAL ALLIANCE L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD EUGENE KREUTZBERG (MANAGER)
(602) 254-6541
Entity
Organization
Contact information
Practice address
3031 E INDIAN SCHOOL RD, SUITE #11, PHOENIX, AZ 85016-6848
(602) 254-6541
(602) 955-6620
Mailing address
3031 E INDIAN SCHOOL RD, SUITE #11, PHOENIX, AZ 85016-6848
(602) 254-6541
(602) 955-6620
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
07-537222-H
AZ
Other
Enumeration date
02/15/2007
Last updated
08/22/2020
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