Provider Demographics
NPI:1366648750
Name:ALAMO-LEON, JULIE C (OD)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:C
Last Name:ALAMO-LEON
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:3981 MERIDIAN POINT CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89147-8075
Mailing Address - Country:US
Mailing Address - Phone:702-245-9323
Mailing Address - Fax:702-938-2034
Practice Address - Street 1:8880 W CHARLESTON BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-5454
Practice Address - Country:US
Practice Address - Phone:702-938-2020
Practice Address - Fax:702-938-2034
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NV306152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV880331888OtherEIN