Organization
ARIZONA INSTITUTE OF EYE SURGERY LLC
Active
Other names
Prescott Vision & Eye Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARTHUR D BROOKFIELD (CFO)
(602) 598-7488
Entity
Organization
Contact information
Practice address
3192 WILLOW CREEK RD, PRESCOTT, AZ 86301-6610
(928) 778-3950
(928) 778-3999
Mailing address
63 S ROCKFORD DR STE 220, TEMPE, AZ 85288-6226
(602) 598-7488
(602) 231-6215
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
AZ
261QS0132X
Ophthalmologic Surgery Clinic/Center
OSC4258
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03-C0001215
MEDICARE CCN
AZ
01
—
033176-001
MERCYCARE
—
05
—
190721
—
AZ
05
—
280244
—
AZ
01
—
2Z6546
HEALTHNET
—
01
—
3421045
CIGNA
—
01
—
4498
PHYSICIAN MEDICAL LICENSE
AZ
01
—
572818
RAN & AMN
—
01
—
7442967
AETNA
—
01
—
866291-9714
HUMANA
—
01
—
DM2NNP
ARIZONA FOUNDATION
—
Enumeration date
08/05/2007
Last updated
01/16/2024
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