Organization
ACUVISION INC.
Active
Other names
Lakeshore Optical
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT SISSON BUSCH (PRESIDENT)
(480) 839-3711
Entity
Organization
Contact information
Practice address
1726 E SOUTHERN AVE, SUITE 6, TEMPE, AZ 85282-5686
(480) 839-3711
(480) 456-3359
Mailing address
1726 E SOUTHERN AVE, SUITE 6, TEMPE, AZ 85282-5686
(480) 839-3711
(480) 456-3359
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
286
AZ
Other
Enumeration date
11/29/2007
Last updated
11/29/2007
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