MEDICARE: DR. ERIN COLEEN O'BRIEN O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	5598	OH
2	152W00000X	Optometrist	046.010196	IL
3	152W00000X	Optometrist	NV 752	NV

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4242821	OTHER	OH	MEDICARE PTAN

General Provider Information

NPI Number	:	1417063066
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERIN COLEEN O'BRIEN O.D.

Provider Business Mailing Address
First Line	:	7361 W LAKE MEAD BLVD
Second Line	:	104
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-1040
Country	:	US
Telephone Number	:	702-341-7254
Fax Number	:	702-255-5795

Provider Business Practice Location Address
First Line	:	7361 W LAKE MEAD BLVD
Second Line	:	104
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-1040
Country	:	US
Telephone Number	:	702-341-7254
Fax Number	:	702-255-5795

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/23/2006
Last Update Date	:	12/23/2013

Similar Medicare Providers

1497700900 — KELLY STETSON O.D
Practice Location Address:

7361 W LAKE MEAD BLVD , #104
LAS VEGAS, NV
89128-1040

Practice Phone: 702-804-6133
Practice Fax: 702-804-6162

1689620437 — LINDA M BAYERKOHLER O.D
Practice Location Address:

7361 W LAKE MEAD BLVD , STE 104
LAS VEGAS, NV
89128-1040

Practice Phone: 702-804-6133
Practice Fax: 702-804-6162

1386791630 — VINCENT D GORI O.D.
Practice Location Address:

7361 W LAKE MEAD BLVD STE 104
LAS VEGAS, NV
89128-1040

Practice Phone: 702-804-0790
Practice Fax:

1023162898 — LUXOTTICA OF AMERICA INC.
Practice Location Address:

7361 W LAKE MEAD BLVD , LAKE MEAD PAVILLION STE #104
LAS VEGAS, NV
89128-1040

Practice Phone: 702-360-8070
Practice Fax:

1699030841 — DANNETTE LEE LAMMERT O.D.
Practice Location Address:

7361 W LAKE MEAD BLVD STE 104
LAS VEGAS, NV
89128-1040

Practice Phone: 702-341-7254
Practice Fax:

1568878163 — KEITH SHIMIZU O.D.
Practice Location Address:

7361 W LAKE MEAD BLVD STE 104
LAS VEGAS, NV
89128-1040

Practice Phone: 702-733-6764
Practice Fax:

Directions to “ DR. ERIN COLEEN O'BRIEN O.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.