| NPI | 1063568103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON TERRELL Opticain 702-434-9919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: NV 145) |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2020-08-22 |