Organization
AMANDA MISINCO, PLLC
Active
Other names
Optical Intuitions
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA S MISINCO O.D. (SOLE MEMBER)
(480) 785-4804
Entity
Organization
Contact information
Practice address
9855 S PRIEST DR, SUITE 101, TEMPE, AZ 85284-3605
(480) 785-4804
(480) 940-1832
Mailing address
2206 N 24TH ST, MESA, AZ 85213-2245
(480) 478-9562
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
1686
AZ
Other
Enumeration date
04/05/2011
Last updated
12/03/2012
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