Phoenix Oculoplastic Consultants, Pllc
LBN: Phoenix Oculoplastic Consultants, Pllc
Phoenix Oculoplastic Consultants, Pllc is an health care organization with primary practice located at 3410 N 4Th Ave , Phoenix AZ 85013-3905. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck. Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck is the primary health care specialty.
Phoenix Oculoplastic Consultants, Pllc can be contacted via phone (602) 257-1499, or through Faustina, Misha via phone (602) 257-1498.
Contact Information
Primary practice address
3410 N 4Th Ave
Phoenix AZ 85013-3905
Phone: (602) 257-1499
Fax: (480) 361-3517
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 33016 | Arizona |
| Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck | 2082S0099X | 33016 | Arizona |
Profile Details
| NPI number | 1497009641 |
|---|---|
| LBN Legal business name | Phoenix Oculoplastic Consultants, Pllc |
| DBA Doing business as | |
| Authorized official | Faustina, Misha Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 8th, 2012 |
| Last updated | Nov 8th, 2012 - about 14 years 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 | 1497009641 | NPPES |
| Other | 1952570194 | NPI | |
| MEDICAID | 868672 | NPI | |
| Other | 1669438057 | NPI | |
| MEDICAID | 608730 | NPI |
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