Organization
EYE FORS PLLC
Active
Other names
Active Eye Care of Surprise
Organization subpart
No
Provider details
NPI number
Authorized official
DR. INGA LILLIANA FORS OD (OD/ OWNER)
(623) 214-0353
Entity
Organization
Contact information
Practice address
16968 W BELL RD STE 402, SURPRISE, AZ 85374-8943
(623) 214-0353
(623) 214-0693
Mailing address
16968 W BELL RD STE 402, SURPRISE, AZ 85374-8943
(623) 214-0353
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
152WC0802X
Corneal and Contact Management Optometrist
—
—
152WP0200X
Pediatric Optometrist
—
—
152WV0400X
Vision Therapy Optometrist
—
—
Other
Enumeration date
10/14/2024
Last updated
10/14/2024
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