Organization
LAVEEN TOTAL EYECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TORRENCE WATKINS O.D. (OWNER)
(480) 414-5022
Entity
Organization
Contact information
Practice address
5030 W BASELINE RD STE 135, LAVEEN, AZ 85339-7331
(602) 237-4777
(602) 237-1205
Mailing address
5030 W BASELINE RD STE 135, LAVEEN, AZ 85339-7331
(602) 237-4777
(602) 237-1205
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1205
AZ
Other
Enumeration date
04/06/2011
Last updated
01/25/2012
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