Organization
DESERT EYECARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLEY LAWRENCE O.D. (PRESIDENT)
(520) 201-3937
Entity
Organization
Contact information
Practice address
21300 N JOHN WAYNE PKWY STE 105, MARICOPA, AZ 85139-8964
(520) 201-3937
Mailing address
21300 N JOHN WAYNE PKWY STE 105, MARICOPA, AZ 85139-8964
(520) 201-3937
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1757
AZ
Other
Enumeration date
08/13/2012
Last updated
06/14/2020
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