Organization
MIRANDA OPTOMETRY, P. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARRIE JOY MIRANDA O. D. (PRESIDENT)
(928) 443-1743
Entity
Organization
Contact information
Practice address
720 N MONTEZUMA ST STE C, PRESCOTT, AZ 86301-2068
(928) 443-1743
(928) 442-3120
Mailing address
3120 MONTANA DR, PRESCOTT, AZ 86301-4626
(928) 443-1743
(928) 442-3120
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
844
AZ
Other
Enumeration date
08/09/2007
Last updated
08/09/2007
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