Organization
ROGER PAEZ O.D. CHARTERED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE JOHNSON (PRESIDENT)
(702) 893-3937
Entity
Organization
Contact information
Practice address
5905 S EASTERN AVE STE 101, LAS VEGAS, NV 89119-3130
(702) 893-3937
(702) 893-3429
Mailing address
5905 S EASTERN AVE STE 101, LAS VEGAS, NV 89119-3130
(702) 893-3937
(702) 893-3429
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
507
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100506828
—
NV
Enumeration date
10/10/2007
Last updated
08/10/2018
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