IndividualActive
Darwin Mordhorst
NPI 1215723366 · Optician · Prescott, AZ
Provider details
- NPI number
- 1215723366
- Entity type
- Individual
- Primary specialty
- OpticianEye and Vision Services Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1176 (AZ)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
1280 Gail Gardner Way
Prescott, AZ 86305-1641
Phone: (928) 499-3136
Approximate (ZIP-level) locationGet directions
Mailing address
1280 Gail Gardner Way
Prescott, AZ 86305-1641
Registry dates
- Enumerated
- 2025-04-16
- Last updated
- 2025-04-16
- Certified
- 2025-04-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.