Provider Demographics
NPI:1407293038
Name:SPER,LLC
Entity Type:Organization
Organization Name:SPER,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:
Authorized Official - Last Name:PIRAINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-227-4489
Mailing Address - Street 1:4422 E GRAYTHORN ST
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85044-6813
Mailing Address - Country:US
Mailing Address - Phone:480-227-4489
Mailing Address - Fax:
Practice Address - Street 1:2250 EL MERCADO LOOP
Practice Address - Street 2:
Practice Address - City:SIERRA VISTA
Practice Address - State:AZ
Practice Address - Zip Code:85635-5204
Practice Address - Country:US
Practice Address - Phone:520-452-8911
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-22
Last Update Date:2013-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ872152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty