National Provider Identifier Database

THE EYE DOCTOR AT ST ROSE LLC
Optician


Contact Information

THE EYE DOCTOR AT ST. ROSE LLC
2645 ST. ROSE PARKWAY
SUITE C-110
HENDERSON, NV89052
Phone: 702-385-7900
Fax:
Website:
Specialty Taxonomy Code
* Optician 156FX1800X

* Indicates primary specialty

NPI Profile & details for THE EYE DOCTOR AT ST. ROSE LLC

NPI Number 1558996546
Legal business name
LBN
THE EYE DOCTOR AT ST. ROSE LLC
Authorized official NATALY GAMMOH - (OWNER/OPTOMETRIST)
Entity Organization
Organization subpart No
Enumeration date 03/10/2020
Last updated 01/20/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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