Organization
ANCALA EYE CARE P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STUART L GREENBERG O.D. (PRESIDENT)
(480) 451-4519
Entity
Organization
Contact information
Practice address
11219 E VIA LINDA, SUITE D3, SCOTTSDALE, AZ 85259-4069
(480) 451-4519
(480) 451-4858
Mailing address
11219 E VIA LINDA, SUITE D3, SCOTTSDALE, AZ 85259-4069
(480) 451-4519
(480) 451-4858
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD890
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OD890
MEDICARE
AZ
Enumeration date
09/10/2007
Last updated
05/09/2024
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