Individual
DR. PRESTON TODD SUMMERHAYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
13945 W GRAND AVE # A101, SURPRISE, AZ 85374-2437
(623) 931-2943
Mailing address
10245 W DALEY LN, PEORIA, AZ 85383-2737
(801) 654-3341
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT-002487
AZ
Other
Enumeration date
06/01/2021
Last updated
06/01/2021
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