Provider Demographics
NPI:1457683559
Name:SPER,LLC
Entity Type:Organization
Organization Name:SPER,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:A
Authorized Official - Last Name:PIRAINO
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:480-227-4489
Mailing Address - Street 1:9393 N 90TH ST
Mailing Address - Street 2:SUITE 102-173
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-5040
Mailing Address - Country:US
Mailing Address - Phone:480-227-4489
Mailing Address - Fax:
Practice Address - Street 1:1040 S GILBERT RD
Practice Address - Street 2:#101
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85296-3469
Practice Address - Country:US
Practice Address - Phone:480-893-8776
Practice Address - Fax:480-753-6314
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-01
Last Update Date:2015-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ872152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty