Individual
DR. JUSTIN MACKLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
12450 N 32ND ST STE 1, PHOENIX, AZ 85032-7160
(602) 494-0054
(602) 788-8431
Mailing address
8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 22182-2442
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1991
AZ
152W00000X
Optometrist
Primary
OPT-001991
AZ
Other
Enumeration date
02/26/2015
Last updated
03/23/2026
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