IndividualActive
Lori Matelski
NPI 1689446742 · Optician · Maricopa, AZ
Provider details
- NPI number
- 1689446742
- Entity type
- Individual
- Primary specialty
- OpticianEye and Vision Services Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- LDO-002800 (AZ)
Specialties & taxonomies
Eye and Vision Services Providers
Eye and Vision Services Providers
Practice location
45211 W Alamendras St
Maricopa, AZ 85139-8777
Phone: (801) 687-0773
Approximate (ZIP-level) locationGet directions
Mailing address
45211 W Alamendras St
Maricopa, AZ 85139-8777
Registry dates
- Enumerated
- 2023-10-23
- Last updated
- 2023-10-23
- Certified
- 2023-10-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.