| NPI | 1821275157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE DAVIS Owner 775-826-1666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: NV 102) |
| Additional Taxonomies | 156FC0800X Technician/Technologist, Contact Lens (Licence: NV 102) |
| 156FC0801X Technician/Technologist, Contact Lens Fitter (Licence: NV 102) | |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2012-11-13 |