MEDICARE: EYEGLASS WORLD, LLC 75

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
1	332H00000X	Eyewear Supplier	03011217	AZ

General Provider Information

NPI Number	:	1699811828
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EYEGLASS WORLD, LLC 75

Provider Business Mailing Address
First Line	:	3801 S CONGRESS AVE
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33461-4140
Country	:	US
Telephone Number	:	561-965-9110
Fax Number	:	561-642-4063

Provider Business Practice Location Address
First Line	:	2533 N 75TH AVE
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85035-1211
Country	:	US
Telephone Number	:	623-247-2706
Fax Number	:	623-247-1315

Authorized Official
Title or Position	:	COO
Name	:	MR. BEN COOK
Credential	:
Telephone Number	:	561-965-9110

Provider Enumeration Date	:	01/29/2007
Last Update Date	:	07/11/2007

Similar Medicare Providers

1295037687 — KIDZ CONNEXTION DENTAL CENTER
Practice Location Address:

2533 N 75TH AVE
PHOENIX, AZ
85035-1211

Practice Phone: 623-223-1001
Practice Fax: 623-873-7440

1093457673 — DR. KAVITA DAVE
Practice Location Address:

2533 N 75TH AVE
PHOENIX, AZ
85035-1211

Practice Phone: 845-553-5833
Practice Fax:

1659768760 — PAM STANDERFER
Practice Location Address:

6020 N 2ND ST
PHOENIX, AZ
85012-1211

Practice Phone: 602-347-4871
Practice Fax: 602-347-4821

1972099612 — ALEXIS MARIE STARNES L.AC
Practice Location Address:

115 W MCDOWELL RD STE 5
PHOENIX, AZ
85003-1211

Practice Phone: 916-375-9237
Practice Fax:

1255903886 — ANDRES SAMUEL FIERRO DTR
Practice Location Address:

6520 N 7TH ST
PHOENIX, AZ
85014-1211

Practice Phone: 480-681-0458
Practice Fax:

1770758526 — SOUTHWEST KIDNEY DAVITA DIALYSIS PARTNERS LLC
Practice Location Address:

4845 W MCDOWELL RD , STE 10A, 20A, 30A
PHOENIX, AZ
85035-4076

Practice Phone: 602-278-8349
Practice Fax: 602-272-2674

Directions to “EYEGLASS WORLD, LLC 75 ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.