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Pbw Optometry Pc
Eyewear Supplier in Lake Havasu City, Arizona
NPI 1871048405

Pbw Optometry Pc is a Eyewear Supplier based in Lake Havasu City, AZ. Pbw Optometry Pc practices in Lake Havasu City, AZ. The NPI Number for Pbw Optometry Pc is 1871048405 and holds a License No. 1060 (Arizona).

The current practice location address for Pbw Optometry Pc is 1923 Mcculloch Blvd #102, Lake Havasu City, AZ and can be reached out via phone at 928-854-3555 and via fax at 928-854-4544.

Location: 1923 Mcculloch Blvd #102, Lake Havasu City, AZ, 86403-6722
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1871048405
Provider Name
Pbw Optometry Pc
Credential
Provider Entity Type
Organization
Address
1923 Mcculloch Blvd #102, Lake Havasu City, AZ, 86403-6722
Phone Number
928-854-3555
Fax Number
928-854-4544
Provider Enumeration Date
08/24/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7547290001 01 MEDICARE NSC
institution
Provider Business Practice Location Address Details
Address
1923 Mcculloch Blvd #102
City
Lake Havasu City
State
Arizona
Zip
86403-6722
Phone Number
928-854-3555
Fax Number
928-854-4544
person
Provider Business Mailing Address Details
Address
1923 Mcculloch Blvd #102
City
Lake Havasu City
State
Arizona
Zip
86403-6722
Phone Number
928-854-3555
Fax Number
928-854-4544
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Eyewear Supplier
Speciality
-
Taxonomy
332H00000X
License No.
1060 (Arizona)
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
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