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NPI Code Detail

MEDICARE: DAVID P YESNICK OD PROF CORP

MEDICARE: DAVID P YESNICK OD PROF CORP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist335NV

General Provider Information

NPI Number : 1083806970
Entity Type Code : Organization
Provider Name (Legal Business Name) : DAVID P YESNICK OD PROF CORP
Provider Business Mailing Address
First Line : 9191 W FLAMINGO RD STE 120
Second Line :
City : LAS VEGAS
State : NV
Zip : 89147-6859
Country : US
Telephone Number : 702-966-2020
Fax Number : 702-966-2022
Provider Business Practice Location Address
First Line : 9191 W FLAMINGO RD STE 120
Second Line :
City : LAS VEGAS
State : NV
Zip : 89147-6859
Country : US
Telephone Number : 702-966-2020
Fax Number : 702-966-2022
Authorized Official
Title or Position : BILLING
Name : BRENDA SANCHEZ
Credential :
Telephone Number : 702-966-2020
Provider Enumeration Date : 08/14/2007
Last Update Date : 11/03/2023

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Directions to “DAVID P YESNICK OD PROF CORP ” Practice Location

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