Organization
ACTIVE EYECARE LLC
Active
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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