Organization
HEALTHY EYES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DURGA YERRAMILLI O.D. (PRESIDENT)
(623) 224-7001
Entity
Organization
Contact information
Practice address
4568 E CACTUS RD, PHOENIX, AZ 85032-7702
(623) 224-7001
(623) 932-2151
Mailing address
16110 W HUALAPAI ST, GOODYEAR, AZ 85338-7941
(623) 224-7001
(623) 932-2151
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
11/19/2010
Last updated
11/19/2010
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