Organization
VISION CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE M SUMINSKI (OWNER)
(928) 453-1761
Entity
Organization
Contact information
Practice address
1761 MCCULLOCH BLVD N, LAKE HAVASU CITY, AZ 86403-0947
(928) 453-1761
(928) 680-5806
Mailing address
1761 MCCULLOCH BLVD N, LAKE HAVASU CITY, AZ 86403-0947
(928) 453-1761
(928) 680-5806
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
152437
AZ
Other
Enumeration date
03/15/2007
Last updated
08/22/2020
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