Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dennis P Skutecki

Individual provider Optometrist · NPI 1467035204

Dennis P Skutecki is an Optometrist in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2021
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Practice location Address checks out

209 W Jackson St # 274
Phoenix, AZ 85003-2406
Phone: (703) 651-6019
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Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence D02848687 (AZ)

Record details

NPI number1467035204
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 29, 2021
Last updated in NPPESApril 29, 2021
Certification dateApril 29, 2021
Mailing address209 W Jackson St # 274, Phoenix, AZ 85003-2406

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