Organization
EYES EARS & VITALITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KALYNN EGEA OD (OWNER)
(623) 980-8671
Entity
Organization
Contact information
Practice address
15396 N 83RD AVE, PEORIA, AZ 85381-5622
(480) 598-3439
Mailing address
15396 N 83RD AVE, PEORIA, AZ 85381-5622
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
237700000X
Hearing Instrument Specialist
—
—
Other
Enumeration date
08/03/2023
Last updated
08/03/2023
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