Individual
RUBY LEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
4212 N 16TH ST, PHOENIX, AZ 85016-5319
(602) 263-1200
(602) 263-1619
Mailing address
PO BOX 95460, CLEVELAND, OH 44101-0033
(602) 581-6076
(602) 263-1619
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
12235
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
814691
—
AZ
01
—
AZ0905470
BCBS
AZ
Enumeration date
08/03/2006
Last updated
03/26/2026
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