IndividualActive
Jose Magana Perez
NPI 1104605997 · Optician · Henderson, NV
Provider details
- NPI number
- 1104605997
- Entity type
- Individual
- Primary specialty
- OpticianEye and Vision Services Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 619 (NV)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
540 Marks St
Henderson, NV 89014-6654
Phone: (702) 547-6678
Fax: (702) 547-6874
Approximate (ZIP-level) locationGet directions
Mailing address
540 Marks St
Henderson, NV 89014-6654
Registry dates
- Enumerated
- 2023-09-21
- Last updated
- 2023-09-21
- Certified
- 2023-09-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.