| NPI | 1972019867 |
|---|---|
| Doing Business As | OPTIC GALLERY |
| Entity Type | Organization |
| Authorized Contact | ELIZABETH PEGUESE Optometrist 702-710-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NV 820) |
| Enumeration Date | 2017-12-14 |
| Last Update Date | 2017-12-14 |