NPI 1144097601

Jennifer Marie Brusven, LDO

Practitioner Optician North Las Vegas, NV

Practice location

Address: 2650 E Craig Rd, North Las Vegas, NV 89030-3399
Phone: (702) 399-3722
Fax: (702) 399-3145

Registered specialties (2)

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X Licence 689 (NV)

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Eye and Vision Services Providers Taxonomy 156FC0801X Licence 689 (NV)

Registry record

NPI: 1144097601
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Dec 2023
Record last updated: 5 Dec 2023

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.