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Organization

EYE Q VISION LLC

Active
Other names
Pearle Vision
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RANDALL CARL PAUL O.D. (EYE Q VISION MANAGER)
(480) 513-4184
Entity
Organization

Contact information

Practice address
21001 N TATUM BLVD, SUITE 18-1030, PHOENIX, AZ 85050-4206
(480) 513-4184
Mailing address
21001 N TATUM BLVD, SUITE 18-1030, PHOENIX, AZ 85050-4206
(480) 513-4184

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
AZ549
AZ

Other

Enumeration date
01/13/2009
Last updated
01/13/2009
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