Organization
ARIZONA LIONS VISION CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEANNETTE F. RUSSELL (EXECUTIVE DIRECTOR)
(602) 267-7573
Entity
Organization
Contact information
Practice address
3124 E ROOSEVELT ST, SUITE #1, PHOENIX, AZ 85008-5088
(602) 267-7573
(602) 267-7595
Mailing address
3124 E ROOSEVELT ST, SUITE #1, PHOENIX, AZ 85008-5088
(602) 267-7573
(602) 267-7595
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
640
AZ
Other
Enumeration date
03/06/2013
Last updated
03/06/2013
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