Mallavia Od Pc is a Optometrist in Page, Arizona. Mallavia Od Pc practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Mallavia Od Pc is 1417169251. The last update date is 2007-12-31.
Mallavia Od Pc's current location address is Po Box 1806, Page, Arizona. You can contact this provider via phone number 9286452772 and fax number 9286459508. The mailing address for Mallavia Od Pc is Po Box 1806, Page, Arizona. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Mallavia Od Pc |
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Address | Po Box 1806, Page, Arizona |
Phone Number | 9286452772 |
Fax Number | 9286459508 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Mallavia F David |
Credentials | OD |
Telephone Number | 9286452772 |
NPI Number Detail
NPI Number | 1417169251 |
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Provider Enumeration Date | 2007-05-04 |
Last Updated Date | 2007-12-31 |
Provider Mailing Address Detail
Address | Po Box 1806 |
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City | Page |
State | Arizona (AZ) |
Post Code | 860401806 |
Phone Number | 9286452772 |
Fax Number | 9286459508 |
Provider's Primary Taxonomy Detail
Speciality | Optometrist |
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Taxonomy | 152W00000X |
Licence No | 1379 |
Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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What is the unique provider identifier assigned to Mallavia Od Pc?
The Mallavia Od Pc has been issued the NPI (National Provider Identifier) 1417169251 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Mallavia Od Pc?
The Mallavia Od Pc is situated at Po Box 1806, in the city of Page, state of AZ, with the zip code 860401806.
What is Mallavia Od Pc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mallavia Od Pc is Optometrist, and the corresponding taxonomy classification code for this specialized field is 152W00000X.
On what date did the Mallavia Od Pc receive its 1417169251 assignment from the Centers for Medicare & Medicaid Services?
The Mallavia Od Pc was assigned its 1417169251 by the Centers for Medicare & Medicaid Services on 2007-05-04.
As of what date were the details related to Mallavia Od Pc most recently updated or revised?
The information pertaining to Mallavia Od Pc, including its address, specialty, and other relevant details, was last updated or revised on 2007-12-31.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY