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Optometrist

MALLAVIA OD PC

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 Plan acceptance stays unpublished until the practice reports it.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 1417169251 · enumerated 2007-05-04 · record updated 2007-12-31. Source: CMS NPPES. A listing is not a TRICARE network approval.

NPPES record Google Maps Apple Maps OpenStreetMap

Authorized official: DAVID MALLAVIA od, president · (928) 645-2772

Addresses and phones

Mailing address PO BOX 1806, 124 6 AVE, PAGE, AZ, 86040-1806 (928) 645-2772 Fax (928) 645-9508 Google Maps Apple Maps OpenStreetMap
Practice location 124 SIXTH AVE, BOX 1806, PAGE, AZ, 86040-1806 (928) 645-2772 Fax (928) 645-9508 Google Maps Apple Maps OpenStreetMap

Specialties

Optometrist 152W00000X · Primary · License 1379 AZ

In this directory

AZ Coconino County Page Optometrist

Locations and evidence

Practice location PAGE, AZ, 860401806
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.