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 |