Provider Demographics
NPI:1114394772
Name:VOO PC
Entity type:Organization
Organization Name:VOO PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:IRENE
Authorized Official - Middle Name:
Authorized Official - Last Name:VOO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:775-990-8401
Mailing Address - Street 1:8285 W ARBY AVE STE 235
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89113-2235
Mailing Address - Country:US
Mailing Address - Phone:702-583-3300
Mailing Address - Fax:
Practice Address - Street 1:8285 W ARBY AVE
Practice Address - Street 2:SUITE 325
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89113-2235
Practice Address - Country:US
Practice Address - Phone:702-583-3300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-28
Last Update Date:2015-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty