NPI 1083453534
Ryley Jack McMullin, LICENSEDOPTICIAN
Practice location
- Address
- 5200 S Fort Apache Rd, Las Vegas, NV 89148-1722
- Phone
- (702) 367-2272
- Fax
- (702) 367-2787
- Mailing address
- 3865 Palm Island CT, Las Vegas, NV 89147-6572
Registered specialties
Optician
Primary
Registry record
- NPI
- 1083453534
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 23 May 2024
- Record last updated
- 23 May 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.