Healthcare Provider Details
I. General information
NPI: 1992626329
Provider Name (Legal Business Name): SONORAN CATARACT AND RETINA PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2506 E VISTOSO COMMERCE LOOP STE 100
ORO VALLEY AZ
85755-9112
US
IV. Provider business mailing address
2506 E VISTOSO COMMERCE LOOP STE 100
ORO VALLEY AZ
85755-9112
US
V. Phone/Fax
- Phone: 520-595-3659
- Fax: 520-527-2564
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207W00000X |
| Taxonomy | Ophthalmology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BRENNAN
BOYD
Title or Position: OWNER
Credential:
Phone: 724-787-8486