NPI 1104863133

Russell Lee Jew

Practitioner Optometrist North Las Vegas, NV

Practice location

Address: 6900 Pecos Rd, North Las Vegas, NV 89086-4400
Phone: (702) 791-9125

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 8057 (CA)

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Registry record

NPI: 1104863133
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 May 2006
Record last updated: 22 May 2015

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.