Optic Gallery Henderson, LLC

NPI #1407203201 in Henderson, Nevada

Provider Information

NPI Number: 1407203201
Entity Type: Organization
Organization Name: Optic Gallery Henderson, LLC
Primary Specialty: Optometrist
Enumeration Date: May 21, 2016
Last Updated: May 21, 2016

Practice Location

Address: 543 N STEPHANIE ST
Address 2: SUITE 110
City: Henderson
State: Nevada
ZIP Code: 89014-6613
Phone: (702) 888-1079

Authorized Official

Name: JOSEPH LAO, OD
Title: OPTOMETRIST
Phone: (702) 888-1079

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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