OrganizationActive
Associated Ophthalmologist
NPI 1780915538 · Ophthalmology Physician · Goodyear, AZ
Provider details
- NPI number
- 1780915538
- Entity type
- Organization
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Brandi Reshetar, Cfo
Practice location
13555 W Mcdowell Rd
#102
Goodyear, AZ 85395
Phone: (623) 209-0020
Fax: (480) 990-7364
Mailing address
7245 E Osborn Rd
Scottsdale, AZ 85251
Registry dates
- Enumerated
- 2010-01-19
- Last updated
- 2023-04-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.