Organization
VIVIENNE VELASCO O D PC
Active
Other names
iFocus Vision Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIVIENNE VELASCO O.D. (OWNER)
(702) 473-5660
Entity
Organization
Contact information
Practice address
6135 S FORT APACHE RD STE 400, LAS VEGAS, NV 89148-6731
(702) 473-5660
(702) 473-5532
Mailing address
9484 W FLAMINGO RD, SUITE 280, LAS VEGAS, NV 89147-5744
(702) 473-5660
(702) 473-5532
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
543
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100510409
—
NV
Enumeration date
11/26/2008
Last updated
04/24/2023
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