Organization
OPTIC GALLERY SKYE CANYON LLC
Active
Other names
Optic Gallery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIN FRILLARTE OD (PARTNER/OPTOMETRIST)
(702) 336-9349
Entity
Organization
Contact information
Practice address
9560 W SKYE CANYON PARK DR STE 180, LAS VEGAS, NV 89166-6795
(702) 872-2020
(702) 443-9022
Mailing address
7330 ORCHARD HARVEST AVE, LAS VEGAS, NV 89131-4819
(702) 336-9349
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
V106621
—
NV
Enumeration date
03/08/2024
Last updated
03/10/2024
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