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NPI Code Detail

MEDICARE: DR. CAROL RICE O.D.

MEDICARE:  DR. CAROL  RICE  O.D.
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
1152W00000XOptometrist493AZ

General Provider Information

NPI Number : 1801926258
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CAROL RICE O.D.
Provider Business Mailing Address
First Line : 6912 E SIENNA BOUQUET PL
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85262-7151
Country : US
Telephone Number : 480-488-1497
Fax Number :
Provider Business Practice Location Address
First Line : 4510 E CACTUS RD
Second Line : J.C.PENNY OPTICAL
City : PHOENIX
State : AZ
Zip : 85032-7702
Country : US
Telephone Number : 602-996-6833
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2007
Last Update Date : 07/08/2007

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Directions to “ DR. CAROL RICE O.D.” Practice Location

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