NPI | 1073865630 |
---|---|
Doing Business As | BENGOA EYE CARE |
Entity Type | Organization |
Authorized Contact | CODY S. BENGOA Managing Member 775-625-3937 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: NV 497) |
Enumeration Date | 2012-10-07 |
Last Update Date | 2019-01-25 |