1962141598 NPI number — OPTIC GALLERY HORIZON RIDGE LLC

Table of content: (NPI 1962141598)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1962141598 NPI number — OPTIC GALLERY HORIZON RIDGE LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
OPTIC GALLERY HORIZON RIDGE LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
OPTIC GALLERY HORIZON RIDGE
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1962141598
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/27/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1730 W HORIZON RIDGE PKWY STE 120
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HENDERSON
Provider Business Mailing Address State Name:
NV
Provider Business Mailing Address Postal Code:
89012-1000
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
725-220-2020
Provider Business Mailing Address Fax Number:
702-443-9450

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1730 W HORIZON RIDGE PKWY STE 120
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HENDERSON
Provider Business Practice Location Address State Name:
NV
Provider Business Practice Location Address Postal Code:
89012-1000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
702-839-8108
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/01/2022

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
VALDEZ
Authorized Official First Name:
ANNE FLORENCE
Authorized Official Middle Name:
RESURRECCION
Authorized Official Title or Position:
OPTOMETRIST
Authorized Official Telephone Number:
725-220-2020

Provider Taxonomy Codes

  • Taxonomy code: 152W00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)