Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
THERESA A ANTONE, OPTICIAN
Active Sole ProprietorTHERESA A ANTONE, OPTICIAN is a Optician, Dispensing healthcare provider located in PRESCOTT VALLEY, Arizona. NPI 1558586321 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · PRESCOTT VALLEY, AZ
Registration Details
- NPI Number
- 1558586321
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 16, 2007 (19.139554657201 yrs)
- Last Updated
- Jul 8, 2007
- License
-
435 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8516 E STATE ROUTE 69SUITE #CPRESCOTT VALLEY, AZ, 863148805Browse AZ providers · Browse ZIP 86314
- Phone
- 9287759393
- Fax
- 9287721279
- Primary Specialty
-
Optician, Dispensing
156FX1800X
Other Optician, Dispensing Providers in PRESCOTT VALLEY, AZ
| Name | Credential | NPI |
|---|---|---|
| MR. ROBERT LEE EDWARDS III | LDO | 1235910738 |
| MRS. NICOLE MORDHORST | LDO | 1982498663 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.