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NPI Code Detail

MEDICARE: CENTURY VISION CENTER, CHTD.

MEDICARE: CENTURY VISION CENTER, CHTD.
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
1152W00000XOptometristNV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2410049319OTHERNVPALMETTO GBA RAILROAD MED

General Provider Information

NPI Number : 1396800736
Entity Type Code : Organization
Provider Name (Legal Business Name) : CENTURY VISION CENTER, CHTD.
Provider Business Mailing Address
First Line : 8230 W SAHARA AVE
Second Line : SUITE 121
City : LAS VEGAS
State : NV
Zip : 89117-8930
Country : US
Telephone Number : 702-944-2001
Fax Number : 702-947-0474
Provider Business Practice Location Address
First Line : 8230 W SAHARA AVE
Second Line : SUITE 121
City : LAS VEGAS
State : NV
Zip : 89117-8930
Country : US
Telephone Number : 702-944-2001
Fax Number : 702-947-0474
Authorized Official
Title or Position : OWNER/OPTOMETRIST
Name : MICHAEL CRUTCHFIELD
Credential : OD
Telephone Number : 702-944-2001
Provider Enumeration Date : 12/26/2006
Last Update Date : 04/05/2017

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1740330190 — DR. MICHAEL C CRUTCHFIELD O.D.
Practice Location Address:
8230 W SAHARA AVE STE 121
LAS VEGAS, NV
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Practice Fax: 702-947-0474
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Practice Location Address:
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1073066106 — SARA HAGHANI O. D.
Practice Location Address:
8230 W SAHARA AVE STE 121
LAS VEGAS, NV
89117-8930
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Practice Fax: 702-947-0474

Directions to “CENTURY VISION CENTER, CHTD. ” Practice Location

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