Healthcare Provider Details

I. General information

NPI: 1588869028
Provider Name (Legal Business Name): HOPE EYE CENTER, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2007
Last Update Date: 10/10/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1530 W GLENDALE AVE SUITE 103
PHOENIX AZ
85021-8578
US

IV. Provider business mailing address

1530 W GLENDALE AVE SUITE 103
PHOENIX AZ
85021-8578
US

V. Phone/Fax

Practice location:
  • Phone: 602-995-2000
  • Fax: 602-995-8408
Mailing address:
  • Phone: 602-995-2000
  • Fax: 602-995-8408

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number15219
License Number StateAZ

VIII. Authorized Official

Name: DR. STEVEN PERLMUTTER
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 602-995-2000