EAST VALLEY GLAUCOMA INC NPI 1114465010

NPI Information

EAST VALLEY GLAUCOMA INC is a glaucoma specialist ophthalmology in Mesa, AZ. The provider is an ophthalmologist who specializes in the treatment of glaucoma and other disorders related to increased intraocular pressure and optic nerve damage. This specialty involves the medical and surgical treatment of these conditions. EAST VALLEY GLAUCOMA INC NPI is 1114465010. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6402 E SUPERSTITION SPRINGS BLVD STE 104
MESA, AZ
ZIP 85206-391
Phone: (480) 981-3317
Fax: (480) 981-5308

The provider's authorized official is Robert C Spurny .
The authorized official title is Owner and has the following contact phone number (480) 981-3317.

The CLIA number assigned to this NPI record is 03D2173653 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/10/2017 and was last updated on 2/24/2021.

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:

Other Identifiers

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