Organization
EYE DOC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANNON RACHEL CHANDLER O.D. (OPTOMETRIST/OWNER)
(702) 498-0911
Entity
Organization
Contact information
Practice address
8512 W. SAHARA AVE, LAS VEGAS, NV 89117
(702) 450-3937
(702) 933-9094
Mailing address
8512 W. SAHARA AVE, LAS VEGAS, NV 89117
(702) 450-3937
(702) 933-9094
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
455
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100511010
—
NV
Enumeration date
05/15/2009
Last updated
05/15/2009
Update your record
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