Optometrist
COLETTE DSOUZA
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1831075654 · enumerated 2025-08-15 · record updated 2025-08-15. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 12400 N TATUM BLVD UNIT 5089, PHOENIX, AZ, 85032-0046 (714) 732-7890 Google Maps Apple Maps OpenStreetMap
- Practice location 1703 W BETHANY HOME RD STE C3, PHOENIX, AZ, 85015-7066 (602) 944-2444 Google Maps Apple Maps OpenStreetMap
Specialties
- Optometrist 152W00000X · Primary · License OPT-002904 AZ
In this directory
Locations and evidence
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Practice location
PHOENIX, AZ, 850157066
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.