1477969947 NPI number — DR. LAURA KATHRYN ADDY O.D.

Table of content: DR. LAURA KATHRYN ADDY O.D. (NPI 1477969947)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1477969947 NPI number — DR. LAURA KATHRYN ADDY O.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ADDY
Provider First Name:
LAURA
Provider Middle Name:
KATHRYN
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
O.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
WOOLDRIDGE
Provider Other First Name:
LAURA
Provider Other Middle Name:
KATHRYN
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1477969947
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/15/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5865 W UTOPIA RD
Provider Second Line Business Mailing Address:
EYE INSTITUTE
Provider Business Mailing Address City Name:
GLENDALE
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85308-5251
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
623-537-6000
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5865 W UTOPIA RD
Provider Second Line Business Practice Location Address:
EYE INSTITUTE
Provider Business Practice Location Address City Name:
GLENDALE
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85308-5251
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
623-537-6000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/06/2014

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 152W00000X , with the licence number:  1987 , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)