Provider Demographics
NPI:1346870334
Name:VISION INSTITUTE OF ARIZONA PLLC
Entity Type:Organization
Organization Name:VISION INSTITUTE OF ARIZONA PLLC
Other - Org Name:THE VISION INSTITUTE OF ARIZONA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPHTHALMOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DEBORA
Authorized Official - Middle Name:ELENA
Authorized Official - Last Name:GARCIA-ZALISNAK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:757-933-4159
Mailing Address - Street 1:3920 E THOMAS RD # 15568
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85018-7522
Mailing Address - Country:US
Mailing Address - Phone:757-933-4159
Mailing Address - Fax:
Practice Address - Street 1:3920 E THOMAS RD # 15568
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85018-7522
Practice Address - Country:US
Practice Address - Phone:757-933-4159
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-19
Last Update Date:2021-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207WX0120XAllopathic & Osteopathic PhysiciansOphthalmologyCornea and External Diseases SpecialistGroup - Single Specialty