Organization
ALICE KWOK, O.D., PLLC
Active
Other names
Ohana Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
ALICE KWOK O.D. (OPTOMETRIST)
(623) 583-8388
Entity
Organization
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
01
—
Z147100
MEDICARE PTAN
—
Enumeration date
06/09/2011
Last updated
01/17/2014
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