Organization
NORTHERN NEVADA EYECARE LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FANNY W CHAN O.D. (OPTOMETRIST)
(775) 623-5211
Entity
Organization
Contact information
Practice address
50 E HASKELL ST., SUITE A, WINNEMUCCA, NV 89445-3576
(775) 623-5211
(775) 623-5236
Mailing address
50 E HASKELL ST., SUITE A, WINNEMUCCA, NV 89445-3576
(775) 623-5211
(775) 623-5236
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100506146
—
NV
01
—
CG9793
RAILROAD MEDICARE
NV
Enumeration date
01/08/2007
Last updated
04/26/2017
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