ACTIVE EYECARE LLC NPI 1295100204

NPI Information

ACTIVE EYECARE LLC is a clinic center in Surprise, AZ. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). ACTIVE EYECARE LLC NPI is 1295100204. The provider is registered as an organization entity type.
The provider Is Doing Business As Active Eyecare Of Surprise.

The provider's business location address is:

16968 W BELL RD
SUITE 402
SURPRISE, AZ
ZIP 85374-943
Phone: (623) 214-0353
Fax: (623) 214-0693

The provider's authorized official is Mark Edward Fechtel .
The authorized official title is Owner and has the following contact phone number (623) 214-0353.

The enumeration date for this NPI number is 12/2/2015 and was last updated on 12/2/2015.

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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