Healthcare Provider Details

I. General information

NPI: 1710095476
Provider Name (Legal Business Name): SCOTT HULME DEMERS O.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: DR. JAMES SCOTT HULME

II. Dates (important events)

Enumeration Date: 08/25/2006
Last Update Date: 06/28/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

670 N MCCARRAN BLVD
SPARKS NV
89431-4600
US

IV. Provider business mailing address

670 N MCCARRAN BLVD
SPARKS NV
89431-4600
US

V. Phone/Fax

Practice location:
  • Phone: 775-358-1317
  • Fax: 775-355-7522
Mailing address:
  • Phone: 775-358-1317
  • Fax: 775-355-7522

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License Number548
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: