Individual
PETER PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
5198 BOULDER HWY, LAS VEGAS, NV 89122
(702) 434-2020
Mailing address
2188 ORCHARD MIST ST, LAS VEGAS, NV 89135
(702) 434-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
422
NV
Other
Enumeration date
04/13/2007
Last updated
05/31/2022
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