Individual
SHAWN BRANDON FITZPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
556 N EASTERN AVE STE A, LAS VEGAS, NV 89101-3453
(702) 385-7900
Mailing address
7633 TINY TORTOISE ST, LAS VEGAS, NV 89149-1926
(509) 860-5532
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1062
NV
152W00000X
Optometrist
T9841
TX
Other
Enumeration date
08/13/2019
Last updated
10/04/2021
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