Organization
CENTER FOR ADVANCED EYE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEHDI VAZEEN M D (MEDICAL DIRECTOR)
(775) 882-9123
Entity
Organization
Contact information
Practice address
1104 NORTH DIVISION STREET, CARSON CITY, NV 89703-3803
(775) 882-9123
(775) 882-6030
Mailing address
1104 NORTH DIVISION STREET, CARSON CITY, NV 89703-3803
(775) 882-9123
(775) 882-6030
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
31824
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100502286
—
NV
05
—
100506942
—
NV
05
—
20-13063
—
NV
Enumeration date
09/28/2006
Last updated
02/06/2020
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