Individual
JOEL MICHAEL MICHAELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1935 E. HERMOSA DR., TEMPE, AZ 85282
(602) 579-6001
Mailing address
1935 E. HERMOSA DR., TEMPE, AZ 85282
(602) 579-6001
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
153
AZ
152WC0802X
Corneal and Contact Management Optometrist
153
AZ
152WP0200X
Pediatric Optometrist
153
AZ
152WX0102X
Occupational Vision Optometrist
153
AZ
Other
Enumeration date
02/12/2021
Last updated
02/12/2021
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