Organization
HOLLIDAY OPTOMETRY, L.L.C
Active
Other names
Jamie Hiscox, OD
Organization subpart
No
Provider details
NPI number
Authorized official
STACIA A DECKER (VP OF RETAIL)
(520) 327-6215
Entity
Organization
Contact information
Practice address
101 S LA CANADA DR STE 69, GREEN VALLEY, AZ 85614-2665
(520) 625-5657
Mailing address
101 S LA CANADA DR STE 69, GREEN VALLEY, AZ 85614-2665
(520) 625-5657
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1760
AZ
Other
Enumeration date
10/13/2010
Last updated
10/13/2010
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