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NPI Code Detail

MEDICARE: EMERGING VISION INC

MEDICARE: EMERGING VISION INC
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
1156FX1100XOphthalmic Technician/Technologist

General Provider Information

NPI Number : 1477040699
Entity Type Code : Organization
Provider Name (Legal Business Name) : EMERGING VISION INC
Provider Business Mailing Address
First Line : 520 8TH AVE
Second Line :
City : NEW YORK
State : NY
Zip : 10018-6507
Country : US
Telephone Number : 800-332-6302
Fax Number :
Provider Business Practice Location Address
First Line : 3730 LAS VEGAS BLVD S
Second Line :
City : LAS VEGAS
State : NV
Zip : 89158-4300
Country : US
Telephone Number : 702-479-1043
Fax Number : 702-479-1046
Authorized Official
Title or Position : DIRECTOR
Name : NICHOLAS SHASHATI
Credential :
Telephone Number : 858-414-3513
Provider Enumeration Date : 04/13/2018
Last Update Date : 04/13/2018

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Directions to “EMERGING VISION INC ” Practice Location

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