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Organization

YUMA VISION CENTER, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. THOMAS FRANCES DETERMAN OD (DOCTOR OF OPTOMETRY)
(928) 782-7557
Entity
Organization

Contact information

Practice address
2750 S PACIFIC AVE STE D, YUMA, AZ 85365-3547
(928) 782-7557
(928) 783-8445
Mailing address
2750 S PACIFIC AVE STE D, YUMA, AZ 85365-3547
(928) 782-7557
(928) 783-8445

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
663
AZ
152W00000X
Optometrist
Primary
786
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
074667
AZ
05
104927
AZ
Enumeration date
09/27/2007
Last updated
07/26/2021
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