Individual
DR. DAVID RAY STACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2974 N ALMA SCHOOL ROAD, #3, CHANDLER, AZ 85224-6713
(480) 899-0188
(480) 899-0199
Mailing address
2974 N ALMA SCHOOL ROAD, #3, CHANDLER, AZ 85224-6713
(480) 899-0188
(480) 899-0199
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
AZ224
AZ
152WL0500X
Low Vision Rehabilitation Optometrist
AZ224
AZ
152WX0102X
Occupational Vision Optometrist
AZ224
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
035354
—
AZ
Enumeration date
07/19/2005
Last updated
08/13/2010
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