Organization
SERENA SHAO OD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SERENA SHAO OD (OWNER)
(480) 795-7090
Entity
Organization
Contact information
Practice address
14700 N FRANK LLOYD WRIGHT BLVD STE 155, SCOTTSDALE, AZ 85260-2046
(480) 795-7970
(480) 795-7078
Mailing address
14700 N FRANK LLOYD WRIGHT BLVD STE 155, SCOTTSDALE, AZ 85260-2046
(480) 795-7970
(480) 795-7078
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
440102
—
AZ
Enumeration date
09/14/2021
Last updated
04/25/2022
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