| NPI | 1558996546 |
|---|---|
| Doing Business As | THE EYE DOC AT ST. ROSE |
| Entity Type | Organization |
| Authorized Contact | NATALY GAMMOH Owner/O PT Ometrist 702-385-7900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2020-03-10 |
| Last Update Date | 2022-01-20 |