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Organization

EYE CARE FOR KIDS ARIZONA CHAPTER INC

Active
Parent organization
EYE CARE FOR KIDS
Other names
Eye Care 4 Kids
Organization subpart
Yes

Provider details

NPI number
Legal business name
EYE CARE FOR KIDS
Authorized official
MR. JOSEPH G CARBONE ABOC, NCLC (EXECUTIVE DIRECTOR)
(801) 285-5443
Entity
Organization

Contact information

Practice address
6615 N 39TH AVE, PHOENIX, AZ 85019-1334
(801) 285-5443
Mailing address
6911 S STATE ST, MIDVALE, UT 84047-1239
(801) 285-5443
(801) 255-8526

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
156FC0800X
Contact Lens Technician/Technologist
156FC0801X
Contact Lens Fitter
332H00000X
Eyewear Supplier

Other

Enumeration date
07/30/2019
Last updated
07/30/2019
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