Organization
DAVID M. VANDER VELDT O.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID VANDER VELDT (PRESIDENT)
(702) 561-6595
Entity
Organization
Contact information
Practice address
12041 LA PALMERA AVE, LAS VEGAS, NV 89138-2007
(702) 561-6595
Mailing address
12041 LA PALMERA AVE, LAS VEGAS, NV 89138-2007
(702) 561-6595
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
509
NV
Other
Enumeration date
10/21/2015
Last updated
10/21/2015
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