Organization
ARIZONA EYE INSTITUTE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELODIE NANNENGA OD (OWNER)
(612) 382-1979
Entity
Organization
Contact information
Practice address
5110 S POWER RD, MESA, AZ 85212-4201
(480) 281-0271
Mailing address
12036 E VIA DE PALMAS, CHANDLER, AZ 85249-3405
(612) 382-1979
(480) 281-0273
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1520
AZ
Other
Enumeration date
09/29/2015
Last updated
09/29/2015
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