| NPI | 1679119481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON MAR WESTON Owner 702-530-5965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2019-11-27 |
| Last Update Date | 2019-11-27 |