Provider Demographics
NPI:1417212481
Name:FRILLARTE, ERIN (OD)
Entity type:Individual
Prefix:DR
First Name:ERIN
Middle Name:
Last Name:FRILLARTE
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:9560 W SKYE CANYON PARK DR STE 180
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89166-6795
Mailing Address - Country:US
Mailing Address - Phone:702-872-2020
Mailing Address - Fax:702-443-9022
Practice Address - Street 1:9560 W SKYE CANYON PARK DR STE 180
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89166-6795
Practice Address - Country:US
Practice Address - Phone:702-872-2020
Practice Address - Fax:702-443-9022
Is Sole Proprietor?:No
Enumeration Date:2012-07-05
Last Update Date:2024-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1865152W00000X
NV768152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist