Organization
SEE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUKE ANTHONY DRAKULICH (OFFICE MANAGER)
(775) 887-8866
Entity
Organization
Contact information
Practice address
2874 N CARSON ST, SUITE 200, CARSON CITY, NV 89706-0177
(775) 887-8866
Mailing address
2874 N CARSON ST, SUITE 200, CARSON CITY, NV 89706-0177
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
483
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100505566
—
NV
Enumeration date
01/24/2008
Last updated
04/17/2009
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