| |
2020 Wellness Way Ste 402, Las Vegas, NV 89106-4145 | |
(702) 485-5000 | |
(702) 485-5005 |
Full Name | |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 2020 Wellness Way Ste 402, Las Vegas, Nevada |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902478449 | NPI | - | NPPES |
1902478449 | Medicaid | NV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
2020 Wellness Way Ste 402, Las Vegas, NV 89106-4145 Ph: (702) 485-5000 | 2020 Wellness Way Ste 402, Las Vegas, NV 89106-4145 Ph: (702) 485-5000 |