Organization · Type 2 NPI
Active Eyecare LLC
Clinic/Center · Surprise, AZ
NPI number
1295100204
Active
Practice location
16968 W Bell Rd, Suite 402
Surprise, AZ 85374-8943
Fax (623) 214-0693
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | 1117 (AZ) |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
2 other providers at this address
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About NPI 1295100204
Active Eyecare LLC's National Provider Identifier is 1295100204, issued on Dec 2, 2015. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Surprise, AZ. The record was last updated on Dec 2, 2015.