| NPI | 1912146234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE WAEGING WONG Manager/Optometrist 702-476-2323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NV 620) |
| Enumeration Date | 2009-02-10 |
| Last Update Date | 2012-06-14 |