Individual
DR. TYLER XAVIER DE SOUZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1831 E BUENA VISTA DR, TEMPE, AZ 85284-2501
(929) 335-1243
Mailing address
6895 E CAMELBACK RD UNIT 3015, SCOTTSDALE, AZ 85251-2480
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT-002306
AZ
152W00000X
Optometrist
TUV008345
NY
Other
Enumeration date
07/24/2015
Last updated
05/30/2019
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