James Alan Dominguez, DISPENSING OPTICIAN

NPI #1992496962 in Las Vegas, Nevada

Provider Information

NPI Number: 1992496962
Entity Type: Individual
Name: James Alan Dominguez, DISPENSING OPTICIAN
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Eyewear Supplier
Credential: DISPENSING OPTICIAN
Enumeration Date: May 18, 2023
Last Updated: May 18, 2023

Practice Location

Address: 6973 BLUE DIAMOND RD
City: Las Vegas
State: Nevada
ZIP Code: 89178-9213
Phone: (702) 408-3598

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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