| Organization Name: | SOUTHWESTERN EYE CENTER LTD |
| NPI Number: | 1790178143 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SHANE ARMSTRONG (CHIEF EXECUTIVE OFFICER) |
| Mailing Address: | 75 Colonia De Salud A100 Sierra Vista |
| State: | AZ US |
| Postal Code: | 856352487 |
| Phone Number: | 5204596860 |
| Fax Number: | 5204596858 |
| NPI Enumeration Date: | 03/10/2015 |
| NPI Last Update Date: | 05/18/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332B00000X |
| License Number: | 682 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |