Provider Demographics
NPI:1326512377
Name:SPECIALTY CONTACT LENS SERVICES, LLC
Entity Type:Organization
Organization Name:SPECIALTY CONTACT LENS SERVICES, LLC
Other - Org Name:IN FOCUS: SPECIALTY CONTACT LENS & VISION SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER / MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:CAITLIN
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:MORRISON
Authorized Official - Suffix:
Authorized Official - Credentials:OD, FAAO, FSLS
Authorized Official - Phone:480-420-4243
Mailing Address - Street 1:7301 E 2ND ST STE 110
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-5609
Mailing Address - Country:US
Mailing Address - Phone:480-420-4243
Mailing Address - Fax:
Practice Address - Street 1:7301 E 2ND ST STE 110
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-5609
Practice Address - Country:US
Practice Address - Phone:480-420-4243
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-13
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact ManagementGroup - Single Specialty
No152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty