; NPI #1528371325

Contact Information

ELIZABETH M EVANS

1818 W GLENHAVEN DR
PHOENIX, AZ 85045-1635

Phone: 480-232-0380
Fax: 480-460-0241
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

NPI Number 1528371325

Entity Organization

Organization subpart ¹ Not specified

Enumeration date 07/21/2010

Last updated 07/21/2010 - About 16 years ago

Identifiers

License #

2382I

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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Contact Information

Specialty

Eyewear Supplier

NPI Profile & details for

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