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Organization

SUMMERLIN VISION CENTER INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHRISTOPHER CHIODO OD (OWNER)
(702) 254-6222
Entity
Organization

Contact information

Practice address
7664 W LAKE MEAD BLVD STE 107, LAS VEGAS, NV 89128-6645
(702) 254-6222
(702) 341-9541
Mailing address
7664 W LAKE MEAD BLVD, # 107, LAS VEGAS, NV 89128-6645
(702) 254-6222
(702) 341-9541

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
294
NV
152W00000X
Optometrist
Primary
448
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
37228
MEDICARE ID- TYPE UNSPECIFIED
NV
Enumeration date
09/20/2007
Last updated
02/28/2023
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