MEDICARE: MYINT CENTER FOR EYE AND FACIAL PLASTIC SURGERY PC

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	207W00000X	Ophthalmology Physician		NV

General Provider Information

NPI Number	:	1982876124
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MYINT CENTER FOR EYE AND FACIAL PLASTIC SURGERY PC

Provider Business Mailing Address
First Line	:	8550 W DESERT INN RD
Second Line	:	SUITE 102-212
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-4401
Country	:	US
Telephone Number	:	702-207-6468
Fax Number	:	702-207-4486

Provider Business Practice Location Address
First Line	:	7955 W SAHARA AVE
Second Line	:	SUITE 101
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-7910
Country	:	US
Telephone Number	:	702-207-6468
Fax Number	:	702-207-4486

Authorized Official
Title or Position	:	OWNER/PHYSICIAN
Name	:	DR. SHOIB MYINT
Credential	:	D.O.
Telephone Number	:	702-207-6468

Provider Enumeration Date	:	03/27/2008
Last Update Date	:	02/20/2009

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