IndividualActive
Gabriella Guevara
NPI 1639964158 · Optician · Peoria, AZ
Provider details
- NPI number
- 1639964158
- Entity type
- Individual
- Primary specialty
- OpticianEye and Vision Services Providers
- Sex
- Female
- Sole proprietor
- No
- License
- LDO003417 (AZ)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
21655 N Lake Pleasant Pkwy
Peoria, AZ 85382-7436
Phone: (623) 537-4595
Fax: (623) 537-4972
Approximate (ZIP-level) locationGet directions
Mailing address
21655 N Lake Pleasant Pkwy
Peoria, AZ 85382-7436
Registry dates
- Enumerated
- 2025-04-14
- Last updated
- 2025-04-14
- Certified
- 2025-04-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.