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Organization

ARIZONA INSTITUTE OF EYE SURGERY LLC

Active
Other names
Prescott Vision & Eye Surgery Center
Organization subpart
No

Provider details

NPI number
Authorized official
ARTHUR D BROOKFIELD MD (CFO)
(602) 598-7557
Entity
Organization

Contact information

Practice address
3192 WILLOW CREEK RD, 3192 WILLOW CREEK ROAD, PRESCOTT, AZ 86301-6610
(928) 778-3950
(928) 778-3999
Mailing address
63 S ROCKFORD DR STE 220, TEMPE, AZ 85288-6226
(602) 598-7557
(602) 231-6215

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03-C0001215
MEDICARE CCN
AZ
01
1720278047
BLUE CROSS/BLUE SHIELD OF AZ
01
280244
AHCCCS
AZ
05
280244
AZ
01
4498
PHYSICIAN STATE LICENSE N
AZ
01
572818
RAN & AMN
01
DM6XBU
ARIZONA FOUNDATION
01
IZ0354
HEALTH NET
AZ
01
NNP12601
UNIVERSAL HEALTH CARE
AZ
01
OSC-4258
SURGERY CENTER LICENSE
AZ
Enumeration date
08/01/2007
Last updated
02/25/2026
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