Individual
ROMY PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3615 S RAINBOW BLVD STE 1, LAS VEGAS, NV 89103-1057
(702) 641-2007
(702) 258-2006
Mailing address
PO BOX 401240, LAS VEGAS, NV 89140-1240
(702) 641-2007
(702) 258-2006
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
11541T
CA
152W00000X
Optometrist
Primary
522
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1215155254
EYEMED
—
01
—
26034
SPECTERA
NV
01
—
26488
MEDICAL EYE SERVICES
NV
01
—
291059
NVA
NV
01
—
35421
AVESIS
NV
01
—
56000
DAVIS VISION
NV
01
—
NV0522
EYEMED
NV
Enumeration date
04/23/2007
Last updated
10/28/2024
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