Organization
SWAGEL-WOOTTON EYE CENTER, INC
Active
Other names
Aztec Optical
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTIAN ELLISON (CEO)
(720) 273-7449
Entity
Organization
Contact information
Practice address
220 S 63RD ST, MESA, AZ 85206-1619
(480) 641-3937
(480) 924-5094
Mailing address
PO BOX 200414, DALLAS, TX 75320-3941
(720) 514-1001
(720) 524-1121
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
17689
AZ
Other
Enumeration date
07/28/2006
Last updated
06/10/2022
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