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Organization

SEVILLE EYE CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTOPHER C CARPENTER O.D. (OPTOMETRIST)
(480) 279-3937
Entity
Organization

Contact information

Practice address
3336 E CHANDLER HEIGHTS RD, BLDG A STE 104, GILBERT, AZ 85298-4259
(480) 279-3937
(480) 889-2948
Mailing address
3336 E CHANDLER HEIGHTS RD, BLDG A STE 104, GILBERT, AZ 85298-4259
(480) 279-3937
(480) 889-2948

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
AZ01104
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
539570
AZ
Enumeration date
11/17/2006
Last updated
05/17/2010
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