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Organization
OPTIC GALLERY
Active
Organization
OPTIC GALLERY
Active
Other names
Dr Youngs office
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER C MALLINGER O.D. (PARTNER)
(702) 240-2121
Entity
Organization
Contact information
Practice address
1930 VILLAGE CENTER CIR STE 10, LAS VEGAS, NV 89134-6238
(702) 240-2121
(702) 240-5858
Mailing address
2146 ORCHARD MIST ST, LAS VEGAS, NV 89135-1562
(702) 869-4588
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
328
NV
Other
Enumeration date
07/19/2006
Last updated
08/22/2020
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