MEDICARE: DR. CARL VICTOR LUPEI 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	218	NV

General Provider Information

NPI Number	:	1568502185
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CARL VICTOR LUPEI O.D.

Provider Business Mailing Address
First Line	:	7782 W SAHARA AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-2700
Country	:	US
Telephone Number	:	702-254-7600
Fax Number	:	702-254-0978

Provider Business Practice Location Address
First Line	:	7782 W SAHARA AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-2700
Country	:	US
Telephone Number	:	702-254-7600
Fax Number	:	702-254-0978

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

Provider Enumeration Date	:	02/06/2007
Last Update Date	:	02/05/2009

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Directions to “ DR. CARL VICTOR LUPEI O.D.” Practice Location

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