# THE EYE DOCTOR AT ST. ROSE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Eye Doc at St. Rose
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558996546
- **Authorized official:** DR. NATALY GAMMOH OD (OWNER/OPTOMETRIST)
- **Authorized official phone:** (702) 385-7900

## Contact information

- **Practice address:** 2645 ST. ROSE PARKWAY, SUITE C-110, HENDERSON, NV 89052
- **Practice address phone:** (702) 385-7900
- **Mailing address:** 556 N EASTERN AVE STE A, LAS VEGAS, NV 89101-3453
- **Mailing address phone:** (702) 385-7900
- **Mailing address fax:** (702) 385-1116

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 156FX1800X | Optician | — | NULL | Yes |
| 156FX1800X | Optician | — | — | Yes |

## Other

- **Enumeration date:** 03/10/2020
- **Last updated:** 01/20/2022