IndividualActive
Ryley Mcmullin, LICENSED OPTICIAN
NPI 1083453534 · Optician · Las Vegas, NV
Provider details
- NPI number
- 1083453534
- Entity type
- Individual
- Primary specialty
- OpticianEye and Vision Services Providers
- Credential
- LICENSED OPTICIAN
- Sex
- Male
- Sole proprietor
- Yes
- License
- 474 (NV)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
5200 S Fort Apache Rd
Las Vegas, NV 89148-1722
Phone: (702) 367-2272
Fax: (702) 367-2787
Approximate (ZIP-level) locationGet directions
Mailing address
3865 Palm Island Ct
Las Vegas, NV 89147-6572
Registry dates
- Enumerated
- 2024-05-23
- Last updated
- 2024-05-23
- Certified
- 2024-05-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.