Healthcare Provider Details

I. General information

NPI: 1013132158
Provider Name (Legal Business Name): BARNET DULANEY PERKINS EYE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2007
Last Update Date: 07/11/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1680 WILLOW CREEK ROAD BARNET DULANEY PERKINS EYE CENTER
PRESCOTT AZ
86301
US

IV. Provider business mailing address

4800 N. 22ND STREET BARNET DULANEY PERKINS EYE CENTER
PHOENIX AZ
85016
US

V. Phone/Fax

Practice location:
  • Phone: 602-955-1000
  • Fax: 602-508-4830
Mailing address:
  • Phone: 602-955-1000
  • Fax: 602-508-4830

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberOSC1286
License Number StateAZ

VIII. Authorized Official

Name: DONALD G SNYDER
Title or Position: CFO
Credential:
Phone: 602-955-1000