Mazzulla, Donald S.

Mazzulla, Donald S. is an sole proprietor health care provider with primary practice located at 4116 W Craig Rd #104, North Las Vegas NV 89032. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Allopathic & Osteopathic Physicians / Ophthalmology. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Mazzulla, Donald S. can be contacted via phone (702) 631-2015.

Contact Information

Primary practice address
4116 W Craig Rd #104 North Las Vegas NV 89032
Phone: (702) 631-2015
Fax: (702) 631-2511
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 0231 Nevada
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 0231 Nevada

Profile Details

NPI number 1194777219
LBN Legal business name Mazzulla, Donald S.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 17th, 2006
Last updated Feb 2nd, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194777219 NPPES
Nevada Other 1194777219 INDIVIDUAL NPI
Nevada MEDICAID OD231 INDIVIDUAL NPI

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