Organization
OPTICAL EAST INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHIRLEY A RAKOWSKY LDO (VICE PRESIDENT)
(480) 830-1292
Entity
Organization
Contact information
Practice address
4419 E MAIN ST STE 109, MESA, AZ 85205-7900
(480) 830-1292
(480) 924-9042
Mailing address
4419 E MAIN #109, MESA, AZ 85205
(480) 830-1292
(480) 924-9042
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
299
AZ
Other
Enumeration date
01/26/2007
Last updated
04/14/2008
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