Provider Demographics
NPI:1134914351
Name:YOUSEY, DAVID
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:YOUSEY
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15816 E RICHWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN HILLS
Mailing Address - State:AZ
Mailing Address - Zip Code:85268-1552
Mailing Address - Country:US
Mailing Address - Phone:480-220-3789
Mailing Address - Fax:
Practice Address - Street 1:4915 N PIMA RD
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-1872
Practice Address - Country:US
Practice Address - Phone:480-423-8800
Practice Address - Fax:480-423-8804
Is Sole Proprietor?:No
Enumeration Date:2025-04-09
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ2133E156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician