=====================================================
General NPI Number Information
=====================================================
NPI Number | 1376030056
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ANNE FLORENCE RESURRECCION VALDEZ OD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/18/2018
-----------------------------------------------------
Last Update Date | 03/19/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1730 W HORIZON RIDGE PKWY STE 120
-----------------------------------------------------
City | HENDERSON
-----------------------------------------------------
State | NV
-----------------------------------------------------
Zip | 89012-1000
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 725-220-2020
-----------------------------------------------------
Fax | 702-472-8882
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1730 W HORIZON RIDGE PKWY STE 120
-----------------------------------------------------
City | HENDERSON
-----------------------------------------------------
State | NV
-----------------------------------------------------
Zip | 89012-1000
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 725-220-2020
-----------------------------------------------------
Fax | 702-472-8882
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 152W00000X
-----------------------------------------------------
Taxonomy Name | Optometrist
-----------------------------------------------------
License Number | 977
-----------------------------------------------------
License Number State | NV
-----------------------------------------------------