NPI 1679931687
Eye Care Professionals
Practice location
- Address
- 10685 Professional Cir Suite a, Reno, NV 89521-5856
- Phone
- (775) 322-1000
- Mailing address
- 311 Park Place Blvd 5th Floor, Clearwater, FL 33759-4904
Authorised official
- Name
- Jasmine Worthen
- Title
- Credentialing Specialist
- Phone
- (727) 755-0693
Registered specialties
Non-Pharmacy Dispensing Site
Primary
Registry record
- NPI
- 1679931687
- Entity type
- Organization
- NPI issued
- 4 Feb 2016
- Record last updated
- 22 Nov 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.