Organization
OPTIC GALLERY THE DISTRICT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY NGUYEN (MANAGER)
(702) 634-2020
Entity
Organization
Contact information
Practice address
2260 VILLAGE WALK DR, STE 108, HENDERSON, NV 89052-5688
(702) 871-3937
(702) 871-3936
Mailing address
2260 VILLAGE WALK DR, STE 108, HENDERSON, NV 89052-5688
(702) 871-3937
(702) 871-3936
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
417
NV
Other
Enumeration date
08/03/2016
Last updated
08/03/2016
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