Individual
ALICIA FEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
5865 W UTOPIA RD, GLENDALE, AZ 85308-5251
(623) 806-7268
(623) 806-7212
Mailing address
5865 W UTOPIA RD, GLENDALE, AZ 85308-5251
(623) 806-7268
(623) 806-7212
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
046010117
IL
152WP0200X
Pediatric Optometrist
Primary
1831
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046010117
—
IL
Enumeration date
07/02/2008
Last updated
08/05/2015
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