Primary Eye Care Center of Ahwatukee, PLC
Primary Eye Care Center of Ahwatukee, PLC is an Optometrist in Phoenix, Arizona. Registered with an NPI since 2020.
- In the registry since
- 2020
- Specialties on file
- 3
Practice location Address checks out
16515 S 40th St Ste 111Phoenix, AZ 85048-0559
Phone: (480) 706-2020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Optometrist (primary) | Taxonomy 152W00000X |
|---|---|
| Corneal and Contact Management Optometrist | Taxonomy 152WC0802X |
| Pediatric Optometrist | Taxonomy 152WP0200X |
Record details
| NPI number | 1477166379 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michael De Rubeis — Ceo · (480) 706-2020 |
| NPI enumerated | August 28, 2020 |
| Last updated in NPPES | August 28, 2020 |
| Certification date | August 28, 2020 |
| Mailing address | 3107 E South Fork Dr, Phoenix, AZ 85048-8753 |
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