Mark Edward Fechtel, O.D. Valid NPI
Individual provider · Optometrist · Surprise, AZ
- NPI
- 1356338636
- Type
- Individual (Type 1)
- Primary specialty
- Optometrist
- Specialty group
- Eye and Vision Services Providers
- Taxonomy code
- 152W00000X
- License number
- 1117 (AZ)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2005-10-03
- Last updated
- 2019-05-02
Practice location
16968 W Bell Rd Ste 402
Surprise, AZ 85374-8943
(623) 214-0353