| Desert Family Vision Center Llc | |
|
620 S Central Ave Safford AZ 85546-2692 | |
| (928) 428-0500 | |
| Not Available |
| Full Name | Desert Family Vision Center Llc |
|---|---|
| Speciality | Optometrist |
| Location | 620 S Central Ave, Safford, Arizona |
| Authorized Official Name and Position | Charles Ferrin (MANAGER) |
| Authorized Official Contact | 9284280500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Desert Family Vision Center Llc 620 S Central Ave Safford AZ 85546-2692 Ph: () - | Desert Family Vision Center Llc 620 S Central Ave Safford AZ 85546-2692 Ph: (928) 428-0500 |
| NPI Number | 1144354515 |
|---|---|
| Provider Enumeration Date | 03/15/2007 |
| Last Update Date | 05/02/2022 |
| Medicare PECOS PAC ID | 8022495423 |
|---|---|
| Medicare Enrollment ID | O20220524000427 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144354515 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Charles E Ferrin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1629128525 PECOS PAC ID: 0840225876 Enrollment ID: I20050928001210 |
| Provider Name | Vincent D Van Houten |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1215077177 PECOS PAC ID: 0143384982 Enrollment ID: I20101018000712 |
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