PRESCOTT VALLEY OPTICAL, PLLC; NPI #1780991661

Contact Information

PRESCOTT VALLEY OPTICAL, PLLC

3153 N WINDSONG DR
PRESCOTT VALLEY, AZ 86314-2240

Phone: 928-771-9939
Fax: 928-772-3972
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 PRESCOTT VALLEY OPTICAL, PLLC

NPI Number 1780991661

LBN Legal business name PRESCOTT VALLEY OPTICAL, PLLC

Authorized official BRIAN COURTRIGHT - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 09/13/2010

Last updated 09/13/2010 - About 16 years ago

Identifiers

License #

909

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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PRESCOTT VALLEY OPTICAL, PLLC

Contact Information

Specialty

Eyewear Supplier

NPI Profile & details for PRESCOTT VALLEY OPTICAL, PLLC

Reviews for PRESCOTT VALLEY OPTICAL, PLLC