IndividualActive
Nicole Clark, LDO
NPI 1902699499 · Optician · North Las Vegas, NV
Provider details
- NPI number
- 1902699499
- Entity type
- Individual
- Primary specialty
- OpticianEye and Vision Services Providers
- Credential
- LDO
- Sex
- Female
- Sole proprietor
- No
- License
- 527 (NV)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
3950 W Lake Mead Blvd
North Las Vegas, NV 89032-4895
Phone: (702) 631-8472
Fax: (702) 631-9417
Approximate (ZIP-level) locationGet directions
Mailing address
8137 Redbud Vine St
North Las Vegas, NV 89085-4456
Registry dates
- Enumerated
- 2025-05-27
- Last updated
- 2025-05-27
- Certified
- 2025-05-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.