| NPI | 1861760555 |
|---|---|
| Doing Business As | OPTIC GALLERY |
| Entity Type | Organization |
| Authorized Contact | WESS MICHAEL JORDAN Optometrist/Owner 702-654-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2011-12-08 |
| Last Update Date | 2023-01-19 |