Grant, Mary Alyster
Grant, Mary Alyster is an individual health care provider with primary practice located at 2755 E Desert Inn Rd #700, Las Vegas NV 89121-3690. She recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Vision Therapy, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Grant, Mary Alyster can be contacted via phone (702) 836-3600.Contact Information
Primary practice address
2755 E Desert Inn Rd #700
Las Vegas NV 89121-3690
Phone: (702) 836-3600
Fax: (702) 836-3606
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | 385 | Nevada |
| Eye and Vision Services Providers / Vision Therapy | 152WV0400X | 385 | Nevada |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 385 | Nevada |
Profile Details
| NPI number | 1558321208 |
|---|---|
| LBN Legal business name | Grant, Mary Alyster |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 26th, 2006 |
| Last updated | Feb 15th, 2018 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558321208 | NPPES |
| Nevada | MEDICAID | 002502100 |
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