| Doctor Name: | WESLEY T DEPUTY |
| NPI Number: | 1063855542 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | OPTICIAN |
| License Number: | 568 |
| Business Practice Address: | 3839 N Carson St Carson City, NV - 897061935 |
| Business Phone Number: | 7752974453 |
| Business Fax Number: | 7758412020 |
| Mailing Address: | 3839 N Carson St, CARSON CITY |
| State: | NV |
| Postal Code: | 897061935 |
| Phone Number: | 7752974453 |
| Fax Number: | 7758412020 |
| NPI Enumeration Date: | 04/15/2013 |
| NPI Last Update Date: | 04/15/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156FC0800X |
| License Number: | 568 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NV |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | Contact Lens |
| Taxonomy Definition: | An optician or other ancillary support staff person who, where authorized by state law and trained or certified to do so, may fit or dispense contact lenses to a patient based on the prescription of an optometrist or medical physician. |