| 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 |