Provider Demographics
NPI:1083817431
Name:GOH, EELING ELAINE (OD)
Entity Type:Individual
Prefix:DR
First Name:EELING
Middle Name:ELAINE
Last Name:GOH
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2016 HUMBLE HOLLOW PL
Mailing Address - Street 2:
Mailing Address - City:N LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89084-3164
Mailing Address - Country:US
Mailing Address - Phone:702-546-8988
Mailing Address - Fax:
Practice Address - Street 1:640 E DEER SPRINGS WAY
Practice Address - Street 2:STE 140
Practice Address - City:N LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89086-1512
Practice Address - Country:US
Practice Address - Phone:702-651-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-05
Last Update Date:2013-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA12747 T152W00000X
NV660152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist