Organization
WYBROW EYECARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MASON MATTHEW WYBROW O.D. (PRESIDENT)
(928) 692-2570
Entity
Organization
Contact information
Practice address
3941 E PACKARD AVE, KINGMAN, AZ 86409-0857
(928) 692-2570
(928) 681-3545
Mailing address
3941 E PACKARD AVE, KINGMAN, AZ 86409-0857
(928) 692-2570
(928) 681-3545
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1484
AZ
Other
Enumeration date
05/18/2007
Last updated
08/22/2020
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