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Organization

CENTRAL NEVADA VISION INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHELLE MARIE MILLER O.D. (PRESIDENT)
(775) 423-7411
Entity
Organization

Contact information

Practice address
448 S MAINE ST, FALLON, NV 89406-3342
(775) 423-7411
(775) 423-4785
Mailing address
448 S MAINE ST, FALLON, NV 89406-3342
(775) 423-7411
(775) 423-4785

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
290
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002516050
NV
Enumeration date
09/25/2006
Last updated
07/02/2009
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