Individual
TRISHA FOURNIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
4175 S GRAND CANYON DR STE 105, LAS VEGAS, NV 89147-7155
(702) 912-4254
(702) 847-7624
Mailing address
9853 BANGALORE CT, LAS VEGAS, NV 89148-5804
(303) 946-9642
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1046
NV
152W00000X
Optometrist
OPT.0003205
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1046
STATE
NV
Enumeration date
07/06/2015
Last updated
09/10/2025
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