| NPI | 1043424062 |
|---|---|
| Former Legal Business Name | OPTIC GALLERY |
| Entity Type | Organization |
| Authorized Contact | SHERYL L POTTER President 702-220-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NV 317) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2009-01-13 |