Organization
NORTHWEST VISION CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER CHIODO OD (OWNER)
(702) 656-6144
Entity
Organization
Contact information
Practice address
4343 N RANCHO DR, SUITE 116, LAS VEGAS, NV 89130-3421
(702) 656-6144
(702) 656-3754
Mailing address
4343 N RANCHO DR, LAS VEGAS, NV 89130-3425
(702) 656-6144
(702) 341-9541
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37228
MEDICARE ID - TYPE UNSPECIFIED
NV
Enumeration date
01/04/2012
Last updated
02/23/2023
Update your record
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