Organization
WOGALTER VISION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DAMARIS RIVERA (CREDENTIALING COORDINATOR)
(334) 263-9378
Entity
Organization
Contact information
Practice address
9875 S EASTERN AVE UNIT 15E, LAS VEGAS, NV 89183-6976
(725) 231-9985
(702) 634-4101
Mailing address
3123 HAZY HILLS AVE, HENDERSON, NV 89052-4536
(702) 286-8534
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
10/24/2022
Last updated
10/24/2022
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