Organization
JOEL J ACKERMAN O.D, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOEL J ACKERMAN O.D (PRESIDENT)
(602) 993-3400
Entity
Organization
Contact information
Practice address
14001 N 7TH ST, B-103, PHOENIX, AZ 85022-4382
(602) 993-3400
(602) 993-3428
Mailing address
14001 N 7TH ST, B-103, PHOENIX, AZ 85022-4382
(602) 993-3400
(602) 993-3428
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
#5
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DE0026
RAILROAD MEDICARE
AZ
Enumeration date
09/10/2007
Last updated
01/27/2015
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