Organization
EYE ASSOCIATES LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL C DIESENHOUSE MD (PRESIDENT AND CEO)
(520) 795-4202
Entity
Organization
Contact information
Practice address
5240 E KNIGHT DRIVE, SUITE 104, TUCSON, AZ 85712
(520) 795-2062
(520) 326-5317
Mailing address
5240 E KNIGHT DRIVE, SUITE 104, TUCSON, AZ 85712
(520) 795-2062
(520) 326-5317
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0833800001
DME CIGNA MEDICARE
AZ
Enumeration date
04/17/2007
Last updated
08/22/2020
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