Provider Demographics
NPI:1275833402
Name:EYE CARE AT RHODES RANCH
Entity Type:Organization
Organization Name:EYE CARE AT RHODES RANCH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:L
Authorized Official - Last Name:MAR
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:702-736-8883
Mailing Address - Street 1:7415 S DURANGO DR
Mailing Address - Street 2:SUITE A110
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89113-3606
Mailing Address - Country:US
Mailing Address - Phone:702-736-8883
Mailing Address - Fax:702-877-8882
Practice Address - Street 1:7415 S DURANGO DR
Practice Address - Street 2:SUITE A110
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89113-3606
Practice Address - Country:US
Practice Address - Phone:702-736-8883
Practice Address - Fax:702-877-8882
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-21
Last Update Date:2010-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty