Provider Demographics
NPI:1720864200
Name:DOYLE & RASTEGAR-LARI, PLLC
Entity type:Organization
Organization Name:DOYLE & RASTEGAR-LARI, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MRS
Authorized Official - First Name:NAZANIN
Authorized Official - Middle Name:
Authorized Official - Last Name:RASTEGAR-LARI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-610-3233
Mailing Address - Street 1:346 NEWCASTLE BRIDGE CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89138-1546
Mailing Address - Country:US
Mailing Address - Phone:630-300-4174
Mailing Address - Fax:
Practice Address - Street 1:1485 W WARM SPRINGS RD STE 106
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89014-7632
Practice Address - Country:US
Practice Address - Phone:702-433-1102
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-31
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty