| Organization Name: | ARIZONA EYE INSTITUTE & COSMETIC LASER CENTER |
| NPI Number: | 1023074291 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | EMILIO M JUSTO (PRESIDENT/MEDICAL DIRECTOR) |
| Mailing Address: | 19052 N R H Johnson Blvd Sun City West |
| State: | AZ US |
| Postal Code: | 853754401 |
| Phone Number: | 6239752020 |
| Fax Number: | 6239757005 |
| NPI Enumeration Date: | 04/25/2006 |
| NPI Last Update Date: | 01/30/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | OSC3384 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |