PRESCOTT VALLEY OPTICAL PLLC NPI 1780991661

NPI Information

PRESCOTT VALLEY OPTICAL, PLLC is an eyewear supplier in Prescott Valley, AZ. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. PRESCOTT VALLEY OPTICAL, PLLC NPI is 1780991661. The provider is registered as an organization entity type.

The provider's business location address is:

3153 N WINDSONG DR
PRESCOTT VALLEY, AZ
ZIP 86314-240
Phone: (928) 771-9939
Fax: (928) 772-3972

The provider's authorized official is Brian John Courtright .
The authorized official title is President and has the following contact phone number (928) 771-9939.

The CLIA number assigned to this NPI record is 03D0684005 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/13/2010 and was last updated on 9/13/2010.

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:

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