IndividualActive
Dennis Ingram, STATE LICENSED OPTIC
NPI 1194938373 · Optician · Parker, AZ
Provider details
- NPI number
- 1194938373
- Entity type
- Individual
- Primary specialty
- OpticianEye and Vision Services Providers
- Credential
- STATE LICENSED OPTIC
- Sex
- Male
- Sole proprietor
- No
- License
- 1140 (AZ)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
1317 Joshua Ave
Suite H
Parker, AZ 85344
Phone: (928) 669-6971
Fax: (928) 669-8901
Approximate (ZIP-level) locationGet directions
Mailing address
828 Crystal View Dr
Parker, AZ 85344
Registry dates
- Enumerated
- 2007-05-07
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.