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Contact Information

JENNIFER M BRUSVEN, LDO
2650 E CRAIG RD
NORTH LAS VEGAS, NV89030-3399
 Phone: 702-399-3722
 Fax: 702-399-3145
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optician

156FX1800X 96[5] Optician
 

Contact Lens Fitter

156FC0801X
Indicates primary specialty

NPI Profile & details for JENNIFER M BRUSVEN · (Female)

NPI Number 1144097601
Status Active
Credentials LDO
Entity Individual
Enumeration date 12/05/2023
Last updated 12/05/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • NV License # 689
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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