Provider Demographics
NPI:1467538884
Name:NORTH VALLEY EYE CARE PC
Entity Type:Organization
Organization Name:NORTH VALLEY EYE CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:A
Authorized Official - Last Name:KOHLS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:480-203-2625
Mailing Address - Street 1:4256 E MONTGOMERY RD
Mailing Address - Street 2:
Mailing Address - City:CAVE CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85331-7862
Mailing Address - Country:US
Mailing Address - Phone:480-203-2625
Mailing Address - Fax:480-203-2625
Practice Address - Street 1:2525 W. CAREFREE HWY.
Practice Address - Street 2:#3-120
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85085
Practice Address - Country:US
Practice Address - Phone:623-582-3937
Practice Address - Fax:480-203-2625
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty