NPI | 1336515741 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL D OLMA Partner 702-540-1333 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: OR 3608ATI) |
Additional Taxonomies | 152W00000X Optometrist (Licence: OR 3577ATI) |
Enumeration Date | 2015-08-19 |
Last Update Date | 2022-03-01 |