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NPI Code Detail

MEDICARE: SUNSTAR OPTICAL

MEDICARE: SUNSTAR OPTICAL
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
1332H00000XEyewear Supplier

General Provider Information

NPI Number : 1730567561
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUNSTAR OPTICAL
Provider Business Mailing Address
First Line : 5960 EDMOND ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89118-2856
Country : US
Telephone Number : 702-739-8880
Fax Number : 702-739-7988
Provider Business Practice Location Address
First Line : 5960 EDMOND ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89118-2856
Country : US
Telephone Number : 702-739-8880
Fax Number : 702-739-7988
Authorized Official
Title or Position : GENERAL MANAGER
Name : MR. BRAD H REINHART
Credential :
Telephone Number : 702-739-8880
Provider Enumeration Date : 05/13/2015
Last Update Date : 05/13/2015

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Directions to “SUNSTAR OPTICAL ” Practice Location

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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.

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