Organization
COLUMBUS EYE ASSOC
Active
Parent organization
LCA VISION/LASIK PLUS
Organization subpart
Yes
Provider details
NPI number
Legal business name
LCA VISION/LASIK PLUS
Authorized official
TERRI ROUSE (DIRECTOR OF MANAGED CARE)
(513) 354-5827
Entity
Organization
Contact information
Practice address
16427 N SCOTTSDALE RD, STE 105, SCOTTSDALE, AZ 85254-8197
(480) 722-2020
Mailing address
16427 N SCOTTSDALE RD, STE 105, SCOTTSDALE, AZ 85254-8197
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1384
AZ
Other
Enumeration date
12/10/2010
Last updated
12/10/2010
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