Healthcare Provider Details

I. General information

NPI: 1598427692
Provider Name (Legal Business Name): DADEJ & OHRINER, LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2021
Last Update Date: 10/06/2021
Certification Date: 10/06/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

61 E LAKE MEAD PKWY
HENDERSON NV
89015-5531
US

IV. Provider business mailing address

61 E LAKE MEAD PKWY
HENDERSON NV
89015-5531
US

V. Phone/Fax

Practice location:
  • Phone: 702-565-7579
  • Fax: 702-564-6060
Mailing address:
  • Phone: 702-565-7579
  • Fax: 702-564-6060

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. RHETT L DADEJ
Title or Position: PRESIDENT OWNER
Credential: OD
Phone: 702-651-2020