Individual
DR. STACIE LYNNE HASSERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
5605 W NORTHERN AVE, WALMART VISION CENTER, GLENDALE, AZ 85301
(623) 934-6917
(623) 934-6919
Mailing address
4303 E VISTA BONITA DR, PHOENIX, AZ 85050-8774
(480) 369-1730
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1456
AZ
Other
Enumeration date
10/12/2006
Last updated
10/06/2010
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