Organization
PARK FAMILY EYECARE 2
Active
Other names
Eleven Optometry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER PARK OD (OWNER)
(702) 573-9471
Entity
Organization
Contact information
Practice address
4284 SPRING MOUNTAIN RD UNIT 102, LAS VEGAS, NV 89102-8787
(702) 327-6329
Mailing address
2188 ORCHARD MIST ST, LAS VEGAS, NV 89135-1562
(702) 573-9471
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
12/03/2020
Last updated
12/03/2020
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