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:
Health care specialties
| Specialty | Code | License # | 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 13 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 | 1134103393 | NPPES |
| Nevada | Other | V105259 | MEDICARE PTAN |
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