Provider Demographics
NPI:1265295232
Name:AAA ADVANCED EYE CARE CENTER PLC
Entity type:Organization
Organization Name:AAA ADVANCED EYE CARE CENTER PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WALEED
Authorized Official - Middle Name:
Authorized Official - Last Name:ALSADI
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:602-978-4025
Mailing Address - Street 1:3375 E SHEA BLVD STE B1
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85028-3361
Mailing Address - Country:US
Mailing Address - Phone:602-978-4025
Mailing Address - Fax:
Practice Address - Street 1:3375 E SHEA BLVD STE B1
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85028-3361
Practice Address - Country:US
Practice Address - Phone:602-978-4025
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WALEED ALSADI, O.D., P.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-02-02
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty