SOUTHWESTERN EYE CENTER LTD NPI 1326089715

NPI Information

NPI: 1326089715
Provider Name: SOUTHWESTERN EYE CENTER LTD

Former Legal Business Name: SOUTHWESTERN EYE CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
1600 WILLOW CREEK RD
PRESCOTT, AZ
ZIP 86301
Phone: (928) 776-7477
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SOUTHWESTERN EYE CENTER LTD is an ambulatory surgical clinic center in Prescott, AZ. SOUTHWESTERN EYE CENTER LTD NPI is 1326089715. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Southwestern Eye Center.

The provider's business location address is:

1600 WILLOW CREEK RD
PRESCOTT, AZ
ZIP 86301-108
Phone: (928) 776-7477
Fax: (928) 776-0693

The provider's authorized official is Shane Armstrong .
The authorized official title is Chief Executive Officer and has the following contact phone number (480) 892-8400.

The enumeration date for this NPI number is 6/9/2006 and was last updated on 3/11/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	Z3C0001206	MEDICARE PIN	ARIZONA

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

NPI Synchronization or Removal

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