Dr. Mary A. Grant O.D.
Optometrist in Las Vegas, NV(View on Map)
Full Name
Dr. Mary Alyster Grant O.D.
NPI Number
1558321208
NPI Type
Individual Provider
Gender
Female
Enumeration Date
03/26/2006
Specialties
(Taxonomies)Code
152W00000X
152WP0200X
152WV0400X
Primary Taxonomy
Yes
No
No
Licenses
State
Nevada
License Number
385
Contact
Information
Purpose
Mailing
Location
Address
2755 E DESERT INN RD STE 270
2755 E DESERT INN RD
City
Las Vegas
Las Vegas
State
NV
NV
Postal Code
89121-3690
89121-3690
Country
US
US
Telephone Number
(702) 836-3600
(702) 836-3600
Identifiers
Identifier
002502100
Identifier State
NV
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 02/15/2018
Provider Address
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