Individual provider · Type 1 NPI

Dejana GRK, OD

Pediatric Optometrist · Phoenix, AZ

NPI number 1447692793 Active

Practice location

1331 N 7th St
Phoenix, AZ 85006

Fax (602) 222-3025

Mailing address

3701 Wilshire Blvd Ste 600
Los Angeles, CA 90010-2814

Other practice locations

  • 1331 N 7th St, Phoenix, AZ 85006-2754 · (602) 222-2234

Specialties and licenses

TaxonomyCodeLicense
Pediatric Optometrist Primary 152WP0200XOPT33832 (CA)

Pediatric Optometrist: Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children.

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About NPI 1447692793

Dejana GRK, OD's National Provider Identifier is 1447692793, issued on Jul 26, 2013. The primary taxonomy on file is Pediatric Optometrist (152WP0200X), and the practice location is in Phoenix, AZ. The record was last updated on Jul 31, 2018.