Organization
EYE MAGINATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAUREEN PATRICIA ULMER (OWNER)
(480) 835-9669
Entity
Organization
Contact information
Practice address
1450 W SOUTHERN AVE, SUITE 8, MESA, AZ 85202-4860
(480) 835-9669
(480) 835-7962
Mailing address
1450 W SOUTHERN AVE, SUITE 8, MESA, AZ 85202-4860
(480) 835-9669
(480) 835-7962
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
2297I
AZ
Other
Enumeration date
03/09/2007
Last updated
08/22/2020
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