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Buena Vista Optical — NPI 1477924231, Phoenix, AZ | NPI Central

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NPI 1477924231

OrganizationActive

Buena Vista Optical

NPI 1477924231 · Eyewear Supplier · Phoenix, AZ

Provider details

NPI number: 1477924231
Entity type: Organization
Primary specialty: Eyewear SupplierSuppliers
Organization subpart: No
Authorized official: Robert Tinker, Manager(602) 285-9215
License: 1067E (AZ)

Specialties & taxonomies

Eyewear SupplierPrimary332H00000XLicense 1067E (AZ)
Suppliers

Practice location

300 E Osborn Rd

Suite 100

Phoenix, AZ 85012-2325

Phone: (602) 285-9215

Approximate (ZIP-level) locationGet directions

More AZ providers

Mailing address

300 E Osborn Rd

Phoenix, AZ 85012-2325

Registry dates

Enumerated: 2015-10-19
Last updated: 2015-10-19

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.