| NPI | 1265667521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON RACHEL CHANDLER Optometrist/Owner 702-498-0911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NV 455) |
| Enumeration Date | 2009-05-15 |
| Last Update Date | 2009-05-15 |