National Provider Identifier Database

CENTRAL ARIZONA EYE CLINIC PC
Eyewear Supplier

An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.


Contact Information

CENTRAL ARIZONA EYE CLINIC P.C.
1022 WILLOW CREEK RD
SUITE 200
PRESCOTT, AZ86301-1607
Phone: 928-445-4069
Fax: 928-778-5550
Website:
Specialty Taxonomy Code
* Eyewear Supplier 332H00000X

* Indicates primary specialty

NPI Profile & details for CENTRAL ARIZONA EYE CLINIC P.C.

NPI Number 1720046436
Legal business name
LBN
CENTRAL ARIZONA EYE CLINIC P.C.
Authorized official WILLIAM RUMMEL - (PRESIDENT/OWNER)
Entity Organization
Organization subpart No
Enumeration date 05/02/2006
Last updated 08/01/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • AZ License #: 193588
  • AZ Medicaid: 305583

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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