Search › Arizona › 152W00000X
Scott Lake, OD
NPI 1154587822 · on the registry since 2008
Practice
- Address
- 5707 W Northern Ave Ste 106
Glendale, AZ 85301 - Phone
- (602) 512-3299
- Organisation at this address
- Nationwide Optometry P.C.
Nationwide Optometry P.C.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Also registered as
- 152W00000X
- Licence states on file
- CT, AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-09-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona