Organization
PBW OPTOMETRY P C
Active
Other names
RIVERVIEW VISION AND LASER CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE A PEARL O D (PRESIDENT)
(602) 524-7618
Entity
Organization
Contact information
Practice address
2215 HUALAPAI MOUNTAIN RD, KINGMAN, AZ 86401-8324
(928) 718-1009
Mailing address
2215 HUALAPAI MOUNTAIN RD, KINGMAN, AZ 86401-8324
(928) 718-1009
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
AZ178
AZ
Other
Enumeration date
02/28/2007
Last updated
08/22/2020
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