Individual
DR. ERIN COLEEN O'BRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
7361 W LAKE MEAD BLVD, 104, LAS VEGAS, NV 89128-1040
(702) 341-7254
(702) 255-5795
Mailing address
7361 W LAKE MEAD BLVD, 104, LAS VEGAS, NV 89128-1040
(702) 341-7254
(702) 255-5795
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.010196
IL
152W00000X
Optometrist
5598
OH
152W00000X
Optometrist
NV 752
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4242821
MEDICARE PTAN
OH
Enumeration date
08/23/2006
Last updated
12/23/2013
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