Individual
KEITH SHIMIZU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
7361 W LAKE MEAD BLVD STE 104, LAS VEGAS, NV 89128-1040
(702) 733-6764
Mailing address
7361 W LAKE MEAD BLVD STE 104, LAS VEGAS, NV 89128-1040
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
803
NV
Other
Enumeration date
07/03/2014
Last updated
09/18/2014
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