Organization
SHEPHERD EYE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTINA KENNELLEY (PRACTICE MANAGER)
(702) 731-2088
Entity
Organization
Contact information
Practice address
3575 PECOS MCLEOD, LAS VEGAS, NV 89121-3803
(702) 731-2088
Mailing address
3575 PECOS MCLEOD, LAS VEGAS, NV 89121-3803
(702) 731-2088
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1218020001
NORIDIAN DMS
NV
Enumeration date
04/10/2007
Last updated
01/03/2024
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