Individual
ALICE KWOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
8671 W UNION HILLS DR, STE 502, PEORIA, AZ 85382-7005
(623) 583-8388
(623) 972-3225
Mailing address
8671 W UNION HILLS DR, STE 502, PEORIA, AZ 85382-7005
(623) 583-8388
(623) 972-3225
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1786
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
635656
—
AZ
01
—
Z147101
MEDICARE PTAN
—
Enumeration date
01/02/2007
Last updated
01/17/2014
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