| NPI | 1639328768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY JEAN NICHOLS O PT Ician/Officer Manager 775-746-8884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NV OD278) |
| Enumeration Date | 2008-09-12 |
| Last Update Date | 2008-11-12 |