SearchArizonaOptometrist

Tylor Pravongviengkham, OD

NPI 1235880493 · on the registry since 2022

Practice

Address
4915 E Baseline Rd Ste 115
Gilbert, AZ 85234
Phone
(480) 279-4400
Organisation at this address
True Imaging Lc
Amg Podiatry Llc
Sam P Smith Do Llc
Zymek Cardiology Pllc
Zymek Cardiology Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
39

Registry record

Primary taxonomy
Optometrist
152W00000X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-02-27
Status
Not present in the most recent federal file

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