Organization
EYES ON MESA, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HERLYNNE MARTIN OD (OWNER)
(440) 554-4915
Entity
Organization
Contact information
Practice address
2048 E BASELINE RD, MESA, AZ 85204-6969
(480) 632-5075
Mailing address
3971 E HEATHER CT, GILBERT, AZ 85234-3210
(440) 554-4915
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1973
AZ
Other
Enumeration date
08/30/2018
Last updated
08/30/2018
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