Organization
FAMILY EYE CARE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN SIMON (ADMIN. ASSIT.)
(702) 364-1252
Entity
Organization
Contact information
Practice address
819 S DECATUR BLVD, LAS VEGAS, NV 89107-3930
(702) 878-1908
(702) 878-0761
Mailing address
819 S DECATUR BLVD, LAS VEGAS, NV 89107-3930
(702) 878-1908
(702) 878-0761
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2502012
—
NV
Enumeration date
03/01/2010
Last updated
03/01/2010
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