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Contact Information

DAVID J FAIRLEY, OD
1650 E TUCSON MARKETPLACE BLVD
TUCSON, AZ85713
 Phone: 520-791-7355
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for DAVID J FAIRLEY · (Male)

NPI Number 1730202144
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 04/09/2007
Last updated 12/16/2011 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # 1384
  • AZ Other Z148171 MEDICARE PTAN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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