Provider Demographics
NPI:1871824904
Name:CHRYS A. MANOS, OD, LTD.
Entity Type:Organization
Organization Name:CHRYS A. MANOS, OD, LTD.
Other - Org Name:SAVVY EYES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRYS
Authorized Official - Middle Name:AVERY
Authorized Official - Last Name:MANOS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:702-437-2889
Mailing Address - Street 1:500 E WINDMILL LN
Mailing Address - Street 2:SUITE 120
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89123-1843
Mailing Address - Country:US
Mailing Address - Phone:702-437-2889
Mailing Address - Fax:702-437-5196
Practice Address - Street 1:500 E WINDMILL LN
Practice Address - Street 2:SUITE 120
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89123-1843
Practice Address - Country:US
Practice Address - Phone:702-437-2889
Practice Address - Fax:702-437-5196
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-29
Last Update Date:2012-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV369152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVCT738AMedicare PIN