Provider Demographics
NPI:1780845065
Name:ARIZONA VISION CENTER
Entity Type:Organization
Organization Name:ARIZONA VISION CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ZAHIR
Authorized Official - Middle Name:
Authorized Official - Last Name:CHARANIA
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:602-467-2082
Mailing Address - Street 1:250 N PARKVIEW CT
Mailing Address - Street 2:
Mailing Address - City:LITCHFIELD PARK
Mailing Address - State:AZ
Mailing Address - Zip Code:85340-5073
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1825 W BELL RD
Practice Address - Street 2:ATTN DR. Z. CHARANIA AT VISION CENTER
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85023-3415
Practice Address - Country:US
Practice Address - Phone:602-564-9000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-19
Last Update Date:2008-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1401152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
908759OtherAHCCCS
908759OtherAHCCCS
101281Medicare PIN