Provider Demographics
NPI:1417113853
Name:SENOR, EVA-LAVINIA (OD)
Entity Type:Individual
Prefix:DR
First Name:EVA-LAVINIA
Middle Name:
Last Name:SENOR
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7625 N ORACLE RD STE 105
Mailing Address - Street 2:
Mailing Address - City:ORO VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85704-6981
Mailing Address - Country:US
Mailing Address - Phone:520-293-5671
Mailing Address - Fax:
Practice Address - Street 1:3785 N ORACLE RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85705-3263
Practice Address - Country:US
Practice Address - Phone:520-293-7031
Practice Address - Fax:520-293-7041
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-05
Last Update Date:2022-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAZ 1614152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist