ALVERNON OPTICAL, INC.; NPI #1194842591

Contact Information

ALVERNON OPTICAL, INC.

101 S LA CANADA DR STE 69
GREEN VALLEY, AZ 85614-2665

Phone: 520-625-5657
Fax: 520-625-5659
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Eyewear Supplier	332H00000X	87	All Other Suppliers

Indicates primary specialty

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NPI Profile & details for ALVERNON OPTICAL, INC.

NPI # 1194842591

LBN Legal business name ALVERNON OPTICAL, INC.

Authorized official STACIA DECKER - (VP OF RETAIL)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/23/2007

Last updated 08/22/2020 - About 6 years ago

Identifiers

AZ	License #	813
AZ	Medicaid	405218

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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ALVERNON OPTICAL, INC.

Contact Information

Specialty

Eyewear Supplier

NPI Profile & details for ALVERNON OPTICAL, INC.

Reviews for ALVERNON OPTICAL, INC.