Provider Demographics
NPI:1598897035
Name:KNISLEY, HELEN MINH-HOAN (OD)
Entity Type:Individual
Prefix:DR
First Name:HELEN
Middle Name:MINH-HOAN
Last Name:KNISLEY
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1200 TRANQUIL RAIN AVE
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89012-5563
Mailing Address - Country:US
Mailing Address - Phone:702-321-8536
Mailing Address - Fax:702-365-0508
Practice Address - Street 1:4300 MEADOWS LN STE 104
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89107-3018
Practice Address - Country:US
Practice Address - Phone:702-822-6003
Practice Address - Fax:702-821-1367
Is Sole Proprietor?:No
Enumeration Date:2007-03-11
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV454152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist