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Organization

YAVAPAI OPTICAL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JARED G SMEDLEY MD (AUTHORIZED OFFICIAL)
(928) 775-9393
Entity
Organization

Contact information

Practice address
7763 E FLORENTINE RD, PRESCOTT VALLEY, AZ 86314-2289
(928) 775-9393
(928) 772-1279
Mailing address
7763 E FLORENTINE RD, PRESCOTT VALLEY, AZ 86314-2289
(928) 775-9393
(928) 772-1279

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
332H00000X
Eyewear Supplier
Primary

Other

Enumeration date
03/09/2020
Last updated
04/19/2024
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