IndividualActive
Brittany Gotham
NPI 1699579292 · Optician · Glendale, AZ
Provider details
- NPI number
- 1699579292
- Entity type
- Individual
- Primary specialty
- OpticianEye and Vision Services Providers
- Sex
- Female
- Sole proprietor
- No
- License
- LDO-003275 (AZ)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
5845 W Bell Rd
Glendale, AZ 85308-3800
Phone: (602) 942-1475
Approximate (ZIP-level) locationGet directions
Mailing address
5845 W Bell Rd
Glendale, AZ 85308-3800
Registry dates
- Enumerated
- 2025-04-02
- Last updated
- 2025-04-02
- Certified
- 2025-04-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.