Alicia S Mccallen
Optometrist
1444 S Sossaman Rd
Mesa
, Arizona 85209-3400
Alicia S Mccallen
Optometrist
1444 S Sossaman Rd
Mesa
, Arizona 85209-3400
(480) 333-6563
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About
Features
Specialties
- Optometrist
Languages spoken
- English
Location
First Address
- Alicia S Mccallen
- 1444 S Sossaman Rd
- Mesa, AZ
- Zip : 85209-3400
- Phone : (480) 333-6563
Second Address
- Alicia S Mccallen
- 1444 S Sossaman Rd
- Mesa, AZ
- Zip : 85209-3400
- Fax : (480) 333-6564
- Phone : (480) 333-6563
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1462 | AZ |
National Provider Identifier
| NPI | 1003991720 |
|---|---|
| Provider Name | Alicia S Mccallen |
| First Address | Mesa, AZ 85209-3400 |
| Second Address | Mesa, AZ 85209-3400 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/10/2006 |
| Last Update Date | 08/07/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.