ELAINE OETOMO

Optometrist

Active Individual
NPI: 1235798174

Practice Address

9340 W NORTHERN AVE STE 120
Glendale, AZ 85305

Phone: (602) 794-1608

Specialties

Specialty Code Primary License
Optometrist 152W00000X Yes OPT-002345 (AZ)

Frequently Asked Questions

NPI 1235798174 is the National Provider Identifier for ELAINE OETOMO, a Optometrist provider located in Glendale, AZ. This NPI was enumerated on June 12, 2019.
ELAINE OETOMO practices at 9340 W NORTHERN AVE STE 120, Glendale, AZ 85305.

Quick Facts

NPI
1235798174
Type
Individual
Enumerated
Jun 12, 2019
Last Updated
Jan 24, 2024

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