Provider Demographics
NPI:1811941065
Name:CHIARA, GEOFFREY F (OD)
Entity type:Individual
Prefix:DR
First Name:GEOFFREY
Middle Name:F
Last Name:CHIARA
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6900 PECOS RD
Mailing Address - Street 2:EYE CLINIC - VASNHS (123)
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89086-4400
Mailing Address - Country:US
Mailing Address - Phone:702-791-9000
Mailing Address - Fax:702-791-9375
Practice Address - Street 1:6900 PECOS RD
Practice Address - Street 2:EYE CLINIC - VASNHS (123)
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89086-4400
Practice Address - Country:US
Practice Address - Phone:702-791-9000
Practice Address - Fax:702-791-9375
Is Sole Proprietor?:No
Enumeration Date:2006-05-20
Last Update Date:2015-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2125152W00000X
NV227152W00000X
CA8689152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist