Organization
FORNARA EYE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON WESLEY FORNARA OD (DOCTOR)
(928) 300-6339
Entity
Organization
Contact information
Practice address
21655 N LAKE PLEASANT PKWY, PEORIA, AZ 85382-7436
(928) 300-6339
Mailing address
5351 W KERRY LN, GLENDALE, AZ 85308-4954
(928) 300-6339
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1943
AZ
Other
Enumeration date
03/04/2014
Last updated
03/04/2014
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