Organization
PROFESSIONAL OPTOMETRIC SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOWARD J ROSNER OD (OPTOMETRIST)
(248) 939-1213
Entity
Organization
Contact information
Practice address
3501 E BROADWAY BLVD, OPTICAL DEPT, TUCSON, AZ 85716-5405
(520) 241-9522
(520) 881-7248
Mailing address
19190 S ALPHA AVE, APT. 9205, GREEN VALLEY, AZ 85614-4846
(248) 939-1213
(856) 219-8259
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1848
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285719237
NPI TYPE 1
—
05
—
691957
—
AZ
01
—
MI2468
EYEMED
—
Enumeration date
04/16/2012
Last updated
10/22/2012
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