Healthcare Provider Details

I. General information

NPI: 1861982027
Provider Name (Legal Business Name): NUVISION CENTERS , PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2018
Last Update Date: 03/26/2020
Certification Date: 03/26/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10149 N 92ND ST STE 102
SCOTTSDALE AZ
85258-4557
US

IV. Provider business mailing address

10149 N 92ND ST STE 102
SCOTTSDALE AZ
85258-4557
US

V. Phone/Fax

Practice location:
  • Phone: 480-860-1330
  • Fax: 480-391-9303
Mailing address:
  • Phone: 480-860-1330
  • Fax: 480-391-9303

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. ALLISON WOOTEN
Title or Position: OWNER
Credential: OD
Phone: 480-860-1330