Organization
IAN KAWAMOTO, OD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IAN KAWAMOTO O.D. (MANAGING MEMBER)
(702) 252-7310
Entity
Organization
Contact information
Practice address
4825 S RAINBOW BLVD, STE. 203, LAS VEGAS, NV 89103-4914
(702) 252-7310
(702) 252-7320
Mailing address
4825 S RAINBOW BLVD, STE. 203, LAS VEGAS, NV 89103-4914
(702) 252-7310
(702) 252-7320
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
512
NV
Other
Enumeration date
03/20/2007
Last updated
08/22/2020
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