OrganizationActive
Alvernon Optical, Inc.
NPI 1194842591 · Eyewear Supplier · Green Valley, AZ
Provider details
- NPI number
- 1194842591
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Stacia Decker, Vp of Retail(520) 327-6215
- License
- 813 (AZ)
Specialties & taxonomies
Suppliers
Practice location
101 S La Canada Dr Ste 69
Green Valley, AZ 85614-2665
Phone: (520) 625-5657
Fax: (520) 625-5659
Approximate (ZIP-level) locationGet directions
Mailing address
101 S La Canada Dr Ste 69
Green Valley, AZ 85614-2665
Registry dates
- Enumerated
- 2007-03-23
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.