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General NPI Number Information
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NPI Number | 1003930462
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Entity Type | Organization
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Legal Business Name | FACCINTO AND MAYER EYE CARE P.C.
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 09/13/2024
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Provider Practice Location Address
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Address Line | 62 N PECOS RD STE C
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City | HENDERSON
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State | NV
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Zip | 89074-7336
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Country | US
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Telephone | 702-370-0673
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Fax | 855-815-9302
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Provider Business Mailing Address
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Address Line | 62 N PECOS RD STE C
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City | HENDERSON
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State | NV
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Zip | 89074-7336
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Country | US
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Telephone | 702-370-0673
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Fax | 855-815-9302
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. MICHAEL GENE MAYER
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Credential | O.D.
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Telephone | 702-370-0673
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 499, 500
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License Number State | NV
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