Individual
DR. TODD A HARTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
5705 CENTENNIAL CENTER BLVD, SUITE 150, LAS VEGAS, NV 89149-7128
(702) 868-2020
(702) 655-2050
Mailing address
5705 CENTENNIAL CENTER BLVD, SUITE 150, LAS VEGAS, NV 89149-7128
(702) 868-2020
(702) 655-2050
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
NV 632
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1992123244
OFFICE NPI
NV
01
—
454366941
OFFICE TAX ID
NV
Enumeration date
11/01/2006
Last updated
04/04/2014
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