Provider Demographics
NPI:1689928608
Name:TOOR, LOVEJEET (LICENSED OPTICIAN)
Entity Type:Individual
Prefix:MISS
First Name:LOVEJEET
Middle Name:
Last Name:TOOR
Suffix:
Gender:F
Credentials:LICENSED OPTICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3230 W HACIENDA AVE STE 301
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89118-1717
Mailing Address - Country:US
Mailing Address - Phone:702-895-9033
Mailing Address - Fax:702-895-3231
Practice Address - Street 1:3230 W HACIENDA AVE STE 301
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89118-1717
Practice Address - Country:US
Practice Address - Phone:702-895-9033
Practice Address - Fax:702-895-3231
Is Sole Proprietor?:No
Enumeration Date:2012-10-29
Last Update Date:2012-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV482156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician