CUSTOM EYES LLC NPI 1386820421

NPI Information

CUSTOM EYES, LLC is an eyewear supplier in Henderson, NV. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. CUSTOM EYES, LLC NPI is 1386820421. The provider is registered as an organization entity type.

The provider's business location address is:

175 N STEPHANIE ST
SUITE 130
HENDERSON, NV
ZIP 89074-829
Phone: (702) 564-3678
Fax: (702) 564-7552

The provider's authorized official is David William Wolosin .
The authorized official title is Optician/president and has the following contact phone number (702) 564-3678.

The enumeration date for this NPI number is 1/19/2008 and was last updated on 12/3/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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