Provider Demographics
NPI:1245580232
Name:OCHOA INTERPRISES INC.
Entity Type:Organization
Organization Name:OCHOA INTERPRISES INC.
Other - Org Name:AVANTE OPTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MANUEL
Authorized Official - Middle Name:V
Authorized Official - Last Name:OCHOA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-778-6650
Mailing Address - Street 1:2425 N 32ND ST
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85008-2102
Mailing Address - Country:US
Mailing Address - Phone:602-778-6650
Mailing Address - Fax:602-778-6652
Practice Address - Street 1:2425 N 32ND ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85008-2102
Practice Address - Country:US
Practice Address - Phone:602-778-6650
Practice Address - Fax:602-778-6652
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-17
Last Update Date:2012-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ07-447707-J332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies