Provider Demographics
NPI:1437460128
Name:TUCSON OPTOMETRY CLINICS, PC
Entity Type:Organization
Organization Name:TUCSON OPTOMETRY CLINICS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LEW
Authorized Official - Middle Name:LESLIE
Authorized Official - Last Name:LINDLEY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:520-885-2052
Mailing Address - Street 1:8456 E BROADWAY BLVD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85710-4010
Mailing Address - Country:US
Mailing Address - Phone:520-885-2052
Mailing Address - Fax:520-886-7488
Practice Address - Street 1:8456 E BROADWAY BLVD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85710-4010
Practice Address - Country:US
Practice Address - Phone:520-885-2052
Practice Address - Fax:520-886-7488
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-28
Last Update Date:2010-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ135152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty