IndividualActive
Esteban Diaz, LDO
NPI 1386469666 · Optician · Phoenix, AZ
Provider details
- NPI number
- 1386469666
- Entity type
- Individual
- Primary specialty
- OpticianEye and Vision Services Providers
- Credential
- LDO
- Sex
- Male
- Sole proprietor
- Yes
- License
- LDO-003407 (AZ)
Mailing address
635 S Ellis St Apt 1081
Chandler, AZ 85224-4958
Registry dates
- Enumerated
- 2024-11-20
- Last updated
- 2024-11-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.