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OPTICAL DESIGN INC NPI 1013103175


NPI Information

NPI: 1013103175
Provider Name: OPTICAL DESIGN, INC
Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
1530 W GLENDALE AVE
#101
PHOENIX, AZ
ZIP 85021
Phone: (602) 995-5883
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OPTICAL DESIGN, INC is an eyewear supplier in Phoenix, AZ. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. OPTICAL DESIGN, INC NPI is 1013103175. The provider is registered as an organization entity type.

The provider's business location address is:

1530 W GLENDALE AVE
#101
PHOENIX, AZ
ZIP 85021-578
Phone: (602) 995-5883
Fax: (602) 995-3365

The provider's authorized official is S C Joiner .
The authorized official title is Optician and has the following contact phone number (602) 995-5883.

The enumeration date for this NPI number is 9/21/2007 and was last updated on 9/21/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332H00000XEyewear Supplier269ARIZONANo
2332H00000XEyewear SupplierYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10259890001MEDICARE UPINARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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