Provider Demographics
NPI:1730970237
Name:PAYSON EYE CARE CENTER
Entity type:Organization
Organization Name:PAYSON EYE CARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KELSEE
Authorized Official - Middle Name:
Authorized Official - Last Name:STONEBRINK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:928-474-3556
Mailing Address - Street 1:411 S BEELINE HWY STE A
Mailing Address - Street 2:
Mailing Address - City:PAYSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85541-4892
Mailing Address - Country:US
Mailing Address - Phone:928-474-3556
Mailing Address - Fax:928-474-3161
Practice Address - Street 1:411 S BEELINE HWY STE A
Practice Address - Street 2:
Practice Address - City:PAYSON
Practice Address - State:AZ
Practice Address - Zip Code:85541-4892
Practice Address - Country:US
Practice Address - Phone:928-474-3556
Practice Address - Fax:928-474-3161
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-14
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty