IndividualActive
Brant Owens
NPI 1346037751 · Optician · Mesa, AZ
Provider details
- NPI number
- 1346037751
- Entity type
- Individual
- Primary specialty
- OpticianEye and Vision Services Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 000445 (AZ)
Practice location
6131 E Southern Ave
Mesa, AZ 85206-3732
Phone: (480) 980-7174
Fax: (480) 985-9082
Mailing address
6131 E Southern Ave
Mesa, AZ 85206-3732
Registry dates
- Enumerated
- 2025-04-21
- Last updated
- 2025-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.