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Organization

STUART ADAMS O.D. PC

Active
Other names
Havasu Eye Center
Organization subpart
No

Provider details

NPI number
Authorized official
STUART ADAMS O.D.PC (OWNER)
(928) 680-1144
Entity
Organization

Contact information

Practice address
383 S.LAKE HAVASU AVE, LAKE HAVASU CITY, AZ 86403-9368
(928) 680-1144
(928) 680-8639
Mailing address
383 LAKE HAVASU AVE S, LAKE HAVASU CITY, AZ 86403-9368
(928) 680-1144
(928) 680-8639

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
103713
AHCCCS
AZ
01
AZ0179000
BCBS
AZ
Enumeration date
11/30/2006
Last updated
11/07/2012
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