Provider Demographics
NPI:1114986957
Name:PAUL W. HISS, MD, LTD
Entity Type:Organization
Organization Name:PAUL W. HISS, MD, LTD
Other - Org Name:EYE CARE ASSOCIATES OF NEVADA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:K
Authorized Official - Last Name:DEVRIES
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:775-674-1100
Mailing Address - Street 1:2285 GREEN VISTA DR
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89431-8532
Mailing Address - Country:US
Mailing Address - Phone:775-674-1100
Mailing Address - Fax:775-674-1114
Practice Address - Street 1:2285 GREEN VISTA DR
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89431-8532
Practice Address - Country:US
Practice Address - Phone:775-674-1100
Practice Address - Fax:775-674-1114
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty