Individual
BRIAN SHIH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4388 E CRAIG RD STE 150, LAS VEGAS, NV 89115-1962
(702) 643-9191
Mailing address
5599 OAK BEND DR, LAS VEGAS, NV 89135-1227
(310) 310-1953
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
15261
CA
152W00000X
Optometrist
Primary
878
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
878
NEVADA OPTOMETRY LICENSE
NV
01
—
D4552188
CALIFORNIA DMV (DRIVER'S LICENSE)
CA
Enumeration date
07/13/2015
Last updated
07/21/2022
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