=====================================================
General NPI Number Information
=====================================================
NPI Number | 1578636841
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DESERT EYE SPECIALISTS LTD
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/16/2006
-----------------------------------------------------
Last Update Date | 10/19/2010
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2525 W GREENWAY RD SUITE120
-----------------------------------------------------
City | PHOENIX
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85023-4226
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 602-993-6400
-----------------------------------------------------
Fax | 602-866-2850
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2525 W GREENWAY RD SUITE120
-----------------------------------------------------
City | PHOENIX
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85023-4226
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 602-993-6400
-----------------------------------------------------
Fax | 602-866-2850
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT1
-----------------------------------------------------
Name | DR. ERROL R SWEET
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 602-993-6400
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207W00000X
-----------------------------------------------------
Taxonomy Name | Ophthalmology Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------