Individual
DR. ACASIA (CASEY) MARIE WEGENKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
7650 S 59TH AVE STE 101, LAVEEN, AZ 85339-3072
(602) 237-3576
(602) 237-3668
Mailing address
955 W SOUTHERN AVE STE 101, MESA, AZ 85210-4903
(480) 961-1865
(480) 893-8172
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
11449T
CA
152W00000X
Optometrist
Primary
OPT-002522
AZ
Other
Enumeration date
05/23/2007
Last updated
02/01/2024
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