Organization
OPTICAL OPHTHAMIC ASSOCIATES
Active
Other names
Ophthalmic Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MISS BOBBETTE A. SMITH (ADMINISTRATOR)
(702) 870-2020
Entity
Organization
Contact information
Practice address
3016 W CHARLESTON BLVD, SUITE 100, LAS VEGAS, NV 89102-1977
(702) 870-2020
(702) 870-3429
Mailing address
3016 W CHARLESTON BLVD, SUITE 100, LAS VEGAS, NV 89102-1977
(702) 870-2020
(702) 870-3429
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1142680002
MC DME SUPPLIER NUMBER
NV
Enumeration date
02/28/2007
Last updated
08/22/2020
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