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Organization

AMEDCO COLORADO LLC

Active
Other names
St Lukes Eye Care and Laser Center
Organization subpart
No

Provider details

NPI number
Authorized official
PIERRE KEYSER (CHIEF EXECUTIVE OFFICER)
(877) 881-0022
Entity
Organization

Contact information

Practice address
8076 W SAHARA AVE, LAS VEGAS, NV 89117-7930
(877) 881-0022
(702) 974-1375
Mailing address
8076 W SAHARA AVE, LAS VEGAS, NV 89117-7930

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
207W00000X
Ophthalmology Physician
Primary

Other

Enumeration date
10/19/2011
Last updated
10/19/2011
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