Individual
DR. COROM DUMAYNE EISLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2483 WINGFIELD HLS RD STE A100, SPARKS, NV 89436-7209
(775) 446-7950
Mailing address
2483 WINGFIELD HLS RD STE A100, SPARKS, NV 89436-7209
(775) 446-7950
(775) 441-9460
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1011
NV
152W00000X
Optometrist
OPT-002262
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568957744
—
NV
Enumeration date
06/29/2018
Last updated
11/13/2023
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