IndividualActive
Inna Tate
NPI 1053105221 · Optician · Surprise, AZ
Provider details
- NPI number
- 1053105221
- Entity type
- Individual
- Primary specialty
- OpticianEye and Vision Services Providers
- Sole proprietor
- Yes
- License
- LDO-002490 (AZ)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
13770 W Bell Rd
Surprise, AZ 85374-3865
Phone: (623) 544-2255
Approximate (ZIP-level) locationGet directions
Mailing address
13770 W Bell Rd
Surprise, AZ 85374-3865
Registry dates
- Enumerated
- 2025-04-04
- Last updated
- 2025-04-04
- Certified
- 2025-04-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.