Organization
EYE & COSMETIC SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES DANIEL CARPENTER D.O. (MEDICAL DIRECTOR)
(702) 642-7711
Entity
Organization
Contact information
Practice address
3210 E LAKE MEAD BLVD, NORTH LAS VEGAS, NV 89030-9004
(702) 642-7711
(702) 642-8822
Mailing address
2505 ANTHEM VILLAGE DR E-594, HENDERSON, NV 89052
(702) 642-7711
(702) 642-8822
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
926
—
Other
Enumeration date
11/08/2013
Last updated
12/15/2023
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