Hernandez, Gabriel

Hernandez, Gabriel is an individual health care provider with primary practice located at 6134 W Lake Mead Blvd E-8, Las Vegas NV 89108-2659. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Hernandez, Gabriel can be contacted via phone (702) 631-4144.

Contact Information

Primary practice address
6134 W Lake Mead Blvd E-8 Las Vegas NV 89108-2659
Phone: (702) 631-4144
Fax: (702) 631-9094
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 11887T California
Eye and Vision Services Providers / Optometrist 152W00000X 557 Nevada

Profile Details

NPI number 1134103393
LBN Legal business name Hernandez, Gabriel
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2005
Last updated Apr 26th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134103393 NPPES
Nevada Other V105259 MEDICARE PTAN

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