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Organization

ACTIVE EYECARE LLC

Active
Other names
Active Eyecare of Surprise
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARK EDWARD FECHTEL OD (OWNER)
(623) 214-0353
Entity
Organization

Contact information

Practice address
16968 W BELL RD, SUITE 402, SURPRISE, AZ 85374-8943
(623) 214-0353
(623) 214-0693
Mailing address
16968 W BELL RD, SUITE 402, SURPRISE, AZ 85374-8943
(623) 214-0353
(623) 214-0693

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
1117
AZ

Other

Enumeration date
12/02/2015
Last updated
12/02/2015
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