MEDICARE: DADEJ & OHRINER, LTD

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
1	152W00000X	Optometrist	402	NV

General Provider Information

NPI Number	:	1295928463
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DADEJ & OHRINER, LTD

Provider Business Mailing Address
First Line	:	7105 N DURANGO DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89149-4466
Country	:	US
Telephone Number	:	702-651-2020
Fax Number	:	702-651-2099

Provider Business Practice Location Address
First Line	:	7105 N DURANGO DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89149-4466
Country	:	US
Telephone Number	:	702-651-2020
Fax Number	:	702-651-2099

Authorized Official
Title or Position	:	PRESIDENT
Name	:	RHETT L DADEJ
Credential	:
Telephone Number	:	702-651-2020

Provider Enumeration Date	:	08/22/2007
Last Update Date	:	09/27/2022

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