Organization
SHANNON R. CHANDLER, CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANNON R. CHANDLER O.D. (OWNER)
(702) 791-6860
Entity
Organization
Contact information
Practice address
3962 BLUE DIAMOND RD STE 105, LAS VEGAS, NV 89139-7795
(702) 791-6068
(702) 791-7028
Mailing address
3962 BLUE DIAMOND RD STE 105, LAS VEGAS, NV 89139-7795
(702) 791-6860
(702) 791-7028
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
455
NV
Other
Enumeration date
11/21/2006
Last updated
03/28/2019
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