IndividualActive
Timena Wilson
NPI 1679403224 · Technician/Technologist · North Las Vegas, NV
Provider details
- NPI number
- 1679403224
- Entity type
- Individual
- Primary specialty
- Technician/TechnologistEye and Vision Services Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
2517 Lake Martin Ct
North Las Vegas, NV 89031-4306
Phone: (707) 980-9485
Approximate (ZIP-level) locationGet directions
Mailing address
2517 Lake Martin Ct
North Las Vegas, NV 89031-4306
Registry dates
- Enumerated
- 2026-05-22
- Last updated
- 2026-05-22
- Certified
- 2026-05-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.