OrganizationActive
Associated Retina Consultants, Ltd.
NPI 1053592428 · Ophthalmology Physician · Prescott, AZ
Provider details
- NPI number
- 1053592428
- Entity type
- Organization
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kim Jones, Credentialist(602) 216-1144
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1022 Willow Creek Rd
Prescott, AZ 86301-1607
Phone: (602) 242-4928
Fax: (602) 249-4813
Approximate (ZIP-level) locationGet directions
Mailing address
7600 N 15th St
Phoenix, AZ 85020-4327
Registry dates
- Enumerated
- 2007-11-14
- Last updated
- 2008-02-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.