Provider Demographics
NPI:1851719538
Name:TOTAL EYECARE CENTERS, PLLC
Entity type:Organization
Organization Name:TOTAL EYECARE CENTERS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:DOYLE
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLLE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:602-402-3937
Mailing Address - Street 1:4015 S MCCLINTOCK DR STE 107
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85282-5877
Mailing Address - Country:US
Mailing Address - Phone:480-345-0090
Mailing Address - Fax:480-345-7094
Practice Address - Street 1:4015 S MCCLINTOCK DR STE 107
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85282-5877
Practice Address - Country:US
Practice Address - Phone:480-345-0090
Practice Address - Fax:480-345-7094
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-31
Last Update Date:2024-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty