Organization
DOCTOR I LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA ISLAM OD (OPTOMETRIST)
(304) 282-1753
Entity
Organization
Contact information
Practice address
6036 S WILSON DR, CHANDLER, AZ 85249-4969
(304) 282-1753
Mailing address
6036 S WILSON DR, CHANDLER, AZ 85249-4969
(304) 282-1753
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
11/07/2024
Last updated
11/07/2024
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