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General NPI Number Information
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NPI Number | 1457621344
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Entity Type | Organization
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Legal Business Name | WILLIAM F HARVEY OD LTD
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Dates
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Enumeration Date | 01/09/2012
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Last Update Date | 08/06/2012
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Provider Practice Location Address
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Address Line | 815 S 7TH ST
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City | LAS VEGAS
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State | NV
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Zip | 89101-6909
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Country | US
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Telephone | 702-384-1630
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Fax | 702-477-7756
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Provider Business Mailing Address
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Address Line | 815 S 7TH ST
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City | LAS VEGAS
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State | NV
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Zip | 89101-6909
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Country | US
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Telephone | 702-384-1630
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Fax | 702-477-7756
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Authorized Official
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Title or Position | MANAGER
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Name | DEANNE ANDERSON
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Credential |
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Telephone | 702-384-1630
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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 | 160
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License Number State | NV
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