Organization
OPTIC GALLERY ARROYO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY C PEREZ O.D. (PRESIDENT)
(702) 451-3937
Entity
Organization
Contact information
Practice address
7290 ARROYO CROSSING PKWY STE 160, LAS VEGAS, NV 89113-4067
(702) 451-3937
(702) 451-2010
Mailing address
7290 ARROYO CROSSING PKWY STE 160, LAS VEGAS, NV 89113-4067
(702) 451-3937
(702) 451-2010
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FN452A
MEDICARE PTAN
NV
Enumeration date
12/22/2010
Last updated
01/14/2014
Update your record
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