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ARIZONA GLAUCOMA SPECIALISTS - NORTH PHOENIX LLC NPI 1245659531


NPI Information

NPI: 1245659531
Provider Name: ARIZONA GLAUCOMA SPECIALISTS - NORTH PHOENIX, LLC
Classification: Ophthalmology - 207W00000X
Entity Type: Organization

CLIA Number: 03D2094872

Address:
20940 N TATUM BLVD
SUITE 250
PHOENIX, AZ
ZIP 85050
Phone: (480) 538-7075
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ARIZONA GLAUCOMA SPECIALISTS - NORTH PHOENIX, LLC is an ophthalmology in Phoenix, AZ. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. ARIZONA GLAUCOMA SPECIALISTS - NORTH PHOENIX, LLC NPI is 1245659531. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

20940 N TATUM BLVD
SUITE 250
PHOENIX, AZ
ZIP 85050-246
Phone: (480) 538-7075
Fax: (480) 538-7952

The provider's authorized official is Max Chung Ho Kim .
The authorized official title is President and has the following contact phone number (480) 538-7075.

The CLIA number assigned to this NPI record is 03D2094872 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/15/2014 and was last updated on 9/29/2014.


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
1207W00000XOphthalmology35715ARIZONAYes

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: 11/14/2023

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