MEDICARE: DR. CHRISTOPHER CHIODO O.D.

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	152WX0102X	Occupational Vision Optometrist	294	NV

General Provider Information

NPI Number	:	1750435921
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER CHIODO O.D.

Provider Business Mailing Address
First Line	:	7664 W. LAKE MEAD BLVD
Second Line	:	STE. 107
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-6645
Country	:	US
Telephone Number	:	702-254-6222
Fax Number	:

Provider Business Practice Location Address
First Line	:	7664 W LAKE MEAD BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-6645
Country	:	US
Telephone Number	:	702-254-6222
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/23/2007
Last Update Date	:	02/23/2023

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