Prescott Vision & Eye Surgery Center
LBN: Arizona Institute Of Eye Surgery Llc
Prescott Vision & Eye Surgery Center is an health care organization with primary practice located at 3192 Willow Creek Rd , Prescott AZ 86301-6610. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Ambulatory Health Care Facilities / Ophthalmologic Surgery. Allopathic & Osteopathic Physicians / Ophthalmology is the primary health care specialty.
Arizona Institute Of Eye Surgery Llc can be contacted via phone (928) 778-3950, or through Brookfield, Arthur D via phone (602) 598-7488.
Contact Information
Primary practice address
3192 Willow Creek Rd
Prescott AZ 86301-6610
Phone: (928) 778-3950
Fax: (928) 778-3999
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | Arizona | |
| Ambulatory Health Care Facilities / Ophthalmologic Surgery | 261QS0132X | OSC4258 | Arizona |
Profile Details
| NPI number | 1487845764 |
|---|---|
| LBN Legal business name | Arizona Institute Of Eye Surgery Llc |
| DBA Doing business as | Prescott Vision & Eye Surgery Center |
| Authorized official | Brookfield, Arthur D |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 5th, 2007 |
| Last updated | Jan 16th, 2024 - about 10 months ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487845764 | NPPES |
| Arizona | Other | 4498 | PHYSICIAN MEDICAL LICENSE |
| Arizona | MEDICAID | 190721 | PHYSICIAN MEDICAL LICENSE |
| Arizona | Other | 572818 | PHYSICIAN MEDICAL LICENSE |
| Arizona | Other | 03-C0001215 | PHYSICIAN MEDICAL LICENSE |
| Arizona | Other | 3421045 | PHYSICIAN MEDICAL LICENSE |
| Arizona | Other | 7442967 | PHYSICIAN MEDICAL LICENSE |
| Arizona | MEDICAID | 280244 | PHYSICIAN MEDICAL LICENSE |
| Arizona | Other | DM2NNP | PHYSICIAN MEDICAL LICENSE |
| Arizona | Other | 033176-001 | PHYSICIAN MEDICAL LICENSE |
| Arizona | Other | 2Z6546 | PHYSICIAN MEDICAL LICENSE |
| Arizona | Other | 866291-9714 | PHYSICIAN MEDICAL LICENSE |
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