Search › Arizona › 152W00000X
Elaine Oetomo
NPI 1235798174 · on the registry since 2019
Practice
- Address
- 9340 W Northern Ave Ste 120
Glendale, AZ 85305 - Phone
- (602) 794-1608
- Organisation at this address
- National Vision Inc
Inferred from a shared address, not stated in the registry.
Additional practice sites
- 8404 E Shea Blvd # 105, Scottsdale, AZ
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-01-24
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