Organization
PARKER OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS INGRAM OPTICIAN (OWNER)
(928) 669-6971
Entity
Organization
Contact information
Practice address
1317 S JOSHUA AVE, # H, PARKER, AZ 85344-5754
(928) 669-6971
(928) 669-8901
Mailing address
1317 S JOSHUA AVE, # H, PARKER, AZ 85344-5754
(928) 669-6971
(928) 669-8901
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
721
AZ
Other
Enumeration date
02/07/2008
Last updated
02/07/2008
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