Organization
MICHAEL VATHANASAYNEE, O.D. PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL VATHANASAYNEE O.D. (PRESIDENT)
(714) 926-4384
Entity
Organization
Contact information
Practice address
3950 W LAKE MEAD BLVD, NORTH LAS VEGAS, NV 89032-4895
(714) 926-4384
Mailing address
11714 LONGWORTH RD, LAS VEGAS, NV 89135-1322
(714) 926-4384
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
609
NV
Other
Enumeration date
09/30/2009
Last updated
12/13/2012
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