MEDICARE: DR. DANA LE VO 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	516	NV

General Provider Information

NPI Number	:	1881755221
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANA LE VO O.D.

Provider Business Mailing Address
First Line	:	7877 SIRENS SONG CT STE 100
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89139-6403
Country	:	US
Telephone Number	:	714-225-3876
Fax Number	:

Provider Business Practice Location Address
First Line	:	5195 S FORT APACHE RD STE 100
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-1765
Country	:	US
Telephone Number	:	714-225-3876
Fax Number	:

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

Provider Enumeration Date	:	12/12/2006
Last Update Date	:	03/18/2022

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