Provider Demographics
NPI:1497801203
Name:MURRAY, ROD ALAN (OD)
Entity Type:Individual
Prefix:DR
First Name:ROD
Middle Name:ALAN
Last Name:MURRAY
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2987 RED ARROW DR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89135-1623
Mailing Address - Country:US
Mailing Address - Phone:702-341-7753
Mailing Address - Fax:702-341-7753
Practice Address - Street 1:7521 W LAKE MEAD BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-0274
Practice Address - Country:US
Practice Address - Phone:702-804-5556
Practice Address - Fax:702-804-1635
Is Sole Proprietor?:No
Enumeration Date:2007-01-25
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV329152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV35727Medicare ID - Type UnspecifiedMEDICARE
NVU87981Medicare UPIN