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SOUTHWESTERN EYE CENTER LTD NPI 1457381790


NPI Information

NPI: 1457381790
Provider Name: SOUTHWESTERN EYE CENTER LTD

Doing Business As: SOUTHWESTERN EYE CENTER-SAFFORD OPTICAL

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization

CLIA Number: 03D2149629

Address:
2242 W 16TH ST
SAFFORD, AZ
ZIP 85546
Phone: (928) 428-0068
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SOUTHWESTERN EYE CENTER LTD is a durable medical equipment medical supplies in Safford, AZ. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. SOUTHWESTERN EYE CENTER LTD NPI is 1457381790. The provider is registered as an organization entity type.
The provider Is Doing Business As Southwestern Eye Center-safford Optical.

The provider's business location address is:

2242 W 16TH ST
SAFFORD, AZ
ZIP 85546-081
Phone: (928) 428-0068
Fax: (928) 428-0713

The provider's authorized official is L. Lothaire Bluth .
The authorized official title is President and has the following contact phone number (480) 892-8400.

The CLIA number assigned to this NPI record is 03D2149629 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/3/2006 and was last updated on 2/24/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11233910002MEDICARE NSCARIZONA

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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