NPI 1003901851

Aaron Mancuso, OD

Practitioner Optometrist Henderson, NV

Practice location

Address: 2461 W Horizon Ridge Pkwy STE 100, Henderson, NV 89052-5944
Phone: (702) 636-2020
Fax: (702) 616-2133

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 237 (NV)

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Registry record

NPI: 1003901851
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Oct 2006
Record last updated: 10 Dec 2014

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.