Healthcare Provider Details
I. General information
NPI: 1205305620
Provider Name (Legal Business Name): BARNET DULANEY PERKINS EYE CENTER II PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/14/2018
Last Update Date: 01/15/2024
Certification Date: 01/15/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8763 E BELL RD STE 101
SCOTTSDALE AZ
85260-1318
US
IV. Provider business mailing address
63 S ROCKFORD DR STE 220
TEMPE AZ
85288-6226
US
V. Phone/Fax
- Phone: 602-598-7600
- Fax:
- Phone: 602-977-6076
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207WX0200X |
| Taxonomy | Ophthalmic Plastic and Reconstructive Surgery Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207W00000X |
| Taxonomy | Ophthalmology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
ARTHUR
D
BROOKFIELD
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 602-598-7488