| NPI | 1295957645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD ANDREW BOREN President 775-787-9137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NV 354) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: NV 354) |
| 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: NV 354) | |
| 152WP0200X Optometrist, Pediatrics (Licence: NV 354) | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2014-06-10 |