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Eye & Cosmetic Surgery Center Of Nevada, LLC

Ophthalmology in North Las Vegas, NV. Organization (NPI-2).

NPI number1598840134
StatusActive
Last updated in NPPESNov 7, 2007

Details

NPI
1598840134
Entity type
Organization (NPI-2)
Legal business name
Eye & Cosmetic Surgery Center Of Nevada, LLC
Organization subpart
No
Enumeration date
Oct 25, 2006
Last updated
Nov 7, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207W00000X Ophthalmology926NVYes

Practice location

2517 E Lake Mead Blvd
North Las Vegas, NV 89030-6410

Phone 702-642-7711 · Fax 702-642-8822

Mailing address

2505 Anthem Village Dr # E-594
Henderson, NV 89052-5505

Phone 702-642-7711 · Fax 702-642-8822

Authorized official

James Daniel Carpenter
Medical Director
7026427711

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