| NPI | 1043714900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDY YESNICK Owner 702-966-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NV 885) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NV 1047944) |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2018-03-23 |