Organization Name: | ALVERNON OPTICAL, INC. |
NPI Number: | 1194842591 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STACIA A DECKER (VP OF RETAIL) |
Mailing Address: | 101 S La Canada Dr Ste 69 Green Valley |
State: | AZ US |
Postal Code: | 856142665 |
Phone Number: | 5206255657 |
Fax Number: | 5206255659 |
NPI Enumeration Date: | 03/23/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | 813 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
Taxonomy Specialization: | |
Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |