Organization
FLAGSTAFF EYE CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS L. KOSHUTA O.D. (OWNER)
(928) 774-5093
Entity
Organization
Contact information
Practice address
410 N SAN FRANCISCO ST, FLAGSTAFF, AZ 86001-4632
(928) 774-5093
(928) 774-8321
Mailing address
410 N SAN FRANCISCO ST, FLAGSTAFF, AZ 86001-4632
(928) 774-5093
(928) 774-8321
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
80278971
AZ
Other
Enumeration date
02/28/2007
Last updated
08/22/2020
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