Organization Name: | NATIONWIDE VISION CENTER |
NPI Number: | 1013087626 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | VINCENT HAYES (VP MANAGED CARE) |
Mailing Address: | 29834 N Cave Creek Rd Cave Creek |
State: | AZ US |
Postal Code: | 853315836 |
Phone Number: | 4805159321 |
Fax Number: | 4805159365 |
NPI Enumeration Date: | 11/09/2006 |
NPI Last Update Date: | 09/08/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FX1800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Optician |
Taxonomy Definition: |