Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
HERSEL LEWIS, OD
ActiveHERSEL LEWIS, OD is a Optometrist healthcare provider located in STATELINE, Nevada. NPI 1033116017 is currently active in the NPPES registry. Verify at CMS.
Optometrist · STATELINE, NV
Registration Details
- NPI Number
- 1033116017
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 5, 2005 (20.935503750321 yrs)
- Last Updated
- Jan 26, 2021
- Licenses
-
2345T (OR)939 (NV)
Practice Information
- Address
-
276 KINGSBURY GRADE # 103STATELINE, NV, 894499804Browse NV providers · Browse ZIP 89449
- Phone
- 7755883500
- Primary Specialty
-
Optometrist
152W00000X
- Additional Specialty
- Optometrist
Other Optometrist Providers in STATELINE, NV
| Name | Credential | NPI |
|---|---|---|
| DAVID VINCENT GOMEZ | — | 1891446373 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.