Individual
JEFF ALLEN VILLENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
5556 S FORT APACHE RD, LAS VEGAS, NV 89148-7696
(702) 358-0472
(702) 425-9955
Mailing address
5295 S DURANGO DR STE 102, LAS VEGAS, NV 89113-0188
(702) 358-0472
(702) 425-9955
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1144
NV
152W00000X
Optometrist
123594249934
UT
Other
Enumeration date
07/12/2021
Last updated
11/09/2022
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