Organization
YAVAPAI EYE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JARED G SMEDLEY (AUTHORIZED OFFICIAL)
(928) 775-9393
Entity
Organization
Contact information
Practice address
7763 E FLORENTINE RD, PRESCOTT VALLEY, AZ 86314-2289
(801) 645-4572
(928) 772-1279
Mailing address
7763 E FLORENTINE RD, PRESCOTT VALLEY, AZ 86314-2289
(801) 645-4572
(928) 772-1279
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
156F00000X
Technician/Technologist
—
—
156FX1100X
Ophthalmic Technician/Technologist
—
—
156FX1202X
Optometric Technician
—
—
207W00000X
Ophthalmology Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QS0132X
Ophthalmologic Surgery Clinic/Center
—
—
Other
Enumeration date
03/06/2020
Last updated
04/19/2024
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