| Gold Canyon Eye Center, Pllc | |
|
6900 E Us Highway 60, 118, Gold Canyon, AZ 85118-7443 | |
| (480) 474-2020 | |
| (480) 474-8787 |
| Full Name | Gold Canyon Eye Center, Pllc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 6900 E Us Highway 60, Gold Canyon, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043489420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1385 (Arizona) | Primary |
| Provider Name | Lars Carlson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1285703959 PECOS PAC ID: 2466350400 Enrollment ID: I20050714000386 |
| Provider Name | Trina L Cheng |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1295761278 PECOS PAC ID: 7012964109 Enrollment ID: I20060307000338 |
| Mailing Address | Practice Location Address |
|---|---|
| Gold Canyon Eye Center, Pllc 6900 E Us Highway 60, 118, Gold Canyon, AZ 85118-7443 Ph: (480) 474-2020 | Gold Canyon Eye Center, Pllc 6900 E Us Highway 60, 118, Gold Canyon, AZ 85118-7443 Ph: (480) 474-2020 |
Mr. Lars John Carlson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5301 S Superstition Mountain Dr, Gold Canyon, AZ 85218 Phone: 480-474-2020 | |
Dr. Trina Lau Cheng, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6900 E Us Highway 60, 118, Gold Canyon, AZ 85118 Phone: 480-474-2020 Fax: 480-474-8787 |