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Organization

EMERGING VISION INC

Active
Parent organization
EMERGING VISION INC
Other names
OPTICA-MIRAGE
Organization subpart
Yes

Provider details

NPI number
Legal business name
EMERGING VISION INC
Authorized official
NICHOLAS SHASHATI (DIRECTOR)
(858) 414-3513
Entity
Organization

Contact information

Practice address
MIRAGE HOTEL, 3400 LAS VEGAS BLVD S, MIRAGE HOTEL, LAS VEGAS, NV 89109
(702) 692-8500
(702) 692-8502
Mailing address
520 8TH AVE FL 23, NEW YORK, NY 10018-6507
(800) 332-6302

Taxonomy

Speciality
Code
Description
License number
State
156FX1100X
Ophthalmic Technician/Technologist
Primary

Other

Enumeration date
04/16/2018
Last updated
04/16/2018
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