Organization
SONORAN DESERT EYE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY QUARANTA (OFFICE MANAGER)
(480) 812-2211
Entity
Organization
Contact information
Practice address
2211 E PECOS RD, 1, CHANDLER, AZ 85225-6142
(480) 812-2211
Mailing address
2211 E PECOS RD, 1, CHANDLER, AZ 85225-6142
(480) 812-2211
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
945
AZ
332H00000X
Eyewear Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0945
STATE OF ARIZONA
AZ
Enumeration date
04/23/2008
Last updated
01/22/2019
Update your record
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