Provider Demographics
NPI:1023292810
Name:NAGEL-ESPOSITO, ALISSA DANAE (OD)
Entity type:Individual
Prefix:MRS
First Name:ALISSA
Middle Name:DANAE
Last Name:NAGEL-ESPOSITO
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:ALISSA
Other - Middle Name:DANAE
Other - Last Name:NAGEL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OD
Mailing Address - Street 1:8937 W SAHARA AVE
Mailing Address - Street 2:STE. A
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-5883
Mailing Address - Country:US
Mailing Address - Phone:702-254-3558
Mailing Address - Fax:702-254-4012
Practice Address - Street 1:8937 W SAHARA AVE
Practice Address - Street 2:STE. A
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-5883
Practice Address - Country:US
Practice Address - Phone:702-254-3558
Practice Address - Fax:702-254-4012
Is Sole Proprietor?:No
Enumeration Date:2007-12-28
Last Update Date:2010-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV603152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist