Provider Demographics
NPI:1225548498
Name:HERBERT A. STARLIN, O D A NEVADA PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:HERBERT A. STARLIN, O D A NEVADA PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:HERBERT
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:STARLIN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:702-259-3937
Mailing Address - Street 1:7324 W CHEYENNE AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89129-7426
Mailing Address - Country:US
Mailing Address - Phone:702-259-3937
Mailing Address - Fax:
Practice Address - Street 1:7324 W CHEYENNE AVE STE 1
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89129-7426
Practice Address - Country:US
Practice Address - Phone:702-259-3937
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-02
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV258261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service