Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156FX1700X | Ocularist |
NPI | 1013232131 |
---|---|
Provider Name | Mr. Eric Matthew Lindsey |
First Address | Las Vegas, NV 89120-3218 |
Second Address | Las Vegas, NV 89120-3299 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2010 |
Last Update Date | 08/01/2016 |