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Contact Information

MARK PELLER OD AND ASSOCIATES PC
2279 N RAMPART BLVD
LAS VEGAS, NV89128-7640
 Phone: 702-341-0118
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Corneal and Contact Management

152WC0802X 41 Optometry
Indicates primary specialty

NPI Profile & details for MARK PELLER OD AND ASSOCIATES PC

NPI # 1528573508
LBN Legal business name MARK PELLER OD AND ASSOCIATES PC
Authorized official VINCENT HAYES - (SENIOR VICE PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/12/2017
Last updated 12/12/2017 - About 8 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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