Individual
DR. ANGELA KHAKSHOOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
61 E LAKE MEAD PKWY, HENDERSON, NV 89015-5531
(702) 565-7579
Mailing address
61 E LAKE MEAD PKWY, HENDERSON, NV 89015-5531
(702) 565-7579
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
13893
CA
152WC0802X
Corneal and Contact Management Optometrist
13893
CA
152WP0200X
Pediatric Optometrist
13893
CA
152WV0400X
Vision Therapy Optometrist
13893
CA
152WX0102X
Occupational Vision Optometrist
13893
CA
Other
Enumeration date
01/11/2010
Last updated
10/22/2024
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