| NPI | 1114231081 |
|---|---|
| Doing Business As | THE EYESITE OF ANTHEM |
| Entity Type | Organization |
| Authorized Contact | KENNETH C MCCANDLESS Optometrist / Owner 702-476-2225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NV 553) |
| Enumeration Date | 2010-08-03 |
| Last Update Date | 2023-11-30 |