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Contact Information

PRIMARY EYE CARE CENTER OF AHWATUKEE, PLC
16515 S 40TH ST STE 111
PHOENIX, AZ85048-0559
 Phone: 480-706-2020
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Corneal and Contact Management

152WC0802X 41 Optometry
 

Pediatrics

152WP0200X 41 Optometry
Indicates primary specialty

NPI Profile & details for PRIMARY EYE CARE CENTER OF AHWATUKEE, PLC

NPI Number 1477166379
LBN Legal business name PRIMARY EYE CARE CENTER OF AHWATUKEE, PLC
Authorized official MICHAEL DE RUBEIS - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 08/28/2020
Last updated 08/28/2020 - About 6 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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