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

Elaine Pyng Oetomo

Individual provider Optometrist · NPI 1235798174

Elaine Pyng Oetomo is an Optometrist in Glendale, Arizona. Works from 2 locations. Licensed in Arizona.

Licensed in
AZ
In the registry since
2019
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Practice location Address checks out

9340 W Northern Ave Ste 120
Glendale, AZ 85305-1148
Phone: (602) 794-1608
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8404 E Shea Blvd # 105, Scottsdale, AZ 85260-6658 — (480) 483-0711

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OPT-002345 (AZ)

Record details

NPI number1235798174
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 12, 2019
Last updated in NPPESJanuary 24, 2024
Certification dateJanuary 24, 2024

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