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NPI Code Detail

MEDICARE: OPHTHALMIC NURSING CARE OF ARIZONA INC.

MEDICARE: OPHTHALMIC NURSING CARE OF ARIZONA INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WH0200XHome Health Registered NurseRN028029AZ
2163WX1100XOphthalmic Registered NurseRN028029AZ

General Provider Information

NPI Number : 1649506049
Entity Type Code : Organization
Provider Name (Legal Business Name) : OPHTHALMIC NURSING CARE OF ARIZONA INC.
Provider Business Mailing Address
First Line : 2202 E BELMONT AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85020-4721
Country : US
Telephone Number : 602-279-9657
Fax Number : 602-285-1518
Provider Business Practice Location Address
First Line : 2202 E BELMONT AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85020-4721
Country : US
Telephone Number : 602-279-9657
Fax Number : 602-285-1518
Authorized Official
Title or Position : VICE PRESIDENT, TREASURER
Name : MR. DAVID M LAMB
Credential :
Telephone Number : 602-228-8921
Provider Enumeration Date : 10/20/2009
Last Update Date : 10/20/2009

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