| NPI | 1366040305 |
|---|---|
| Doing Business As | ST. ROSE EYE CARE |
| Entity Type | Organization |
| Authorized Contact | JESUS GABRIEL MARTINEZ Manager 702-848-3387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2021-12-22 |