Organization
CENTRAL ARIZONA EYE CLINIC P.C.
Active
Other names
Rummel Optical
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM DAVID RUMMEL MD (PRESIDENT/OWNER)
(928) 445-1341
Entity
Organization
Contact information
Practice address
1022 WILLOW CREEK RD, SUITE 200, PRESCOTT, AZ 86301-1607
(928) 445-4069
(928) 778-5550
Mailing address
1022 WILLOW CREEK RD, SUITE 200, PRESCOTT, AZ 86301-1607
(928) 445-4069
(928) 778-5550
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
193588
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
305583
—
AZ
Enumeration date
05/02/2006
Last updated
08/01/2016
Update your record
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