NPI | 1245546555 |
---|---|
Entity Type | Organization |
Authorized Contact | PAMELA NYON Member 702-645-8573 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: NV 505) |
Additional Taxonomies | 152W00000X Optometrist (Licence: CA 12635 T) |
Enumeration Date | 2010-08-24 |
Last Update Date | 2010-08-24 |