Organization
ENVISION EYECARE CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK J BARRY O.D. (OWNER, CEO)
(520) 293-2363
Entity
Organization
Contact information
Practice address
525 W WETMORE RD STE 101, TUCSON, AZ 85705-5094
(520) 293-2363
(520) 293-0475
Mailing address
525 W WETMORE RD STE 101, TUCSON, AZ 85705-5094
(520) 293-2363
(520) 293-0475
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
AZ-013
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5801810001
DMEPOS-SUPPLIER NO.
AZ
05
—
867480
—
AZ
Enumeration date
02/06/2007
Last updated
12/13/2007
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