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Contact Information

PHOENIX OPTICS, LLC
5890 W BELL RD STE 101A
GLENDALE, AZ85308-3884
 Phone: 561-275-2020
 Fax: 561-828-8367
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for PHOENIX OPTICS, LLC

NPI # 1225759319
LBN Legal business name PHOENIX OPTICS, LLC
Authorized official DANIEL GARZA - (MANAGED CARE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 09/07/2022
Last updated 09/07/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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