Provider Demographics
NPI:1346572914
Name:CIMARRON FAMILY VISION CENTER
Entity Type:Organization
Organization Name:CIMARRON FAMILY VISION CENTER
Other - Org Name:AMY THOMAS, OD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:AMY
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:520-886-8800
Mailing Address - Street 1:1600 N KOLB RD STE 212
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85715-4934
Mailing Address - Country:US
Mailing Address - Phone:520-886-8800
Mailing Address - Fax:520-886-8805
Practice Address - Street 1:1600 N KOLB RD STE 212
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85715-4934
Practice Address - Country:US
Practice Address - Phone:520-886-8800
Practice Address - Fax:520-886-8805
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-08
Last Update Date:2010-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1616261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty