Advanced Laser & Eye Center of Az PC
Organization Active NPI Ophthalmology Physician · Sun Lakes, AZ
NPI 1003970757 · NPPES record last updated May 28, 2010
Key facts
- NPI
- 1003970757
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ophthalmology Physician 207W00000X
- License
- 22618 (AZ)
- Legal business name
- ADVANCED LASER & EYE CENTER OF AZ PC
- Practice address
- 4920 S Alma School Rd
Suite 3
Sun Lakes, AZ 85248-5547 - Phone
- (480) 632-2020
- Fax
- (480) 632-2121
- NPI assigned
- Dec 20, 2006
- Organization subpart
- No
Authorized official
- Name
- Kianoush Kian, MD
- Title
- Owner
- Phone
- (480) 632-2020
National Provider Directory
Locations
4920 S Alma School Rd
Ste 3
Sun Lakes, AZ 85248
Phone (480) 632-2020
10440 E Riggs Rd
Ste 180
Sun Lakes, AZ 85248
Phone (480) 802-2424
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician |
207W00000X | 22618 | AZ | Yes |
Addresses
Primary practice location
4920 S Alma School Rd
Suite 3
Sun Lakes, AZ 85248-5547
Mailing address
3303 E Baseline Rd
#104
Gilbert, AZ 85234-2739
Phone (480) 632-2020
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AZ0805550 | Other | AZ | BCBS |
| 172809 | Medicaid | AZ |
Other names
- ALECA Optical
Other providers in Sun Lakes, AZ
- 360 Physical Therapy LLC
- Agave Podiatry, LLC
- Alma Infectious Disease LLC
- Arizona Active Aging, LLC
- Arizona Heart Institute Sun Lakes
- Arizona Skin and Laser Therapy Institute, LTD.
All providers in Sun Lakes, AZ · Ophthalmology Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 28, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.