Desert Vision and Eye Care

Primary specialty

OptometristTaxonomy code 152W00000X

License

231 Issued in NV

Legal business name

DESERT VISION AND EYE CARE

Practice address

4116 W Craig Rd
Ste 104
N Las Vegas, NV 89032-2732

Phone

(702) 631-2015

Fax

(702) 631-2511

NPI assigned

Feb 9, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Donald S. Mazzulla, O.D.NPI 1194777219

Title

Physician/Partner

Phone

(702) 631-2015

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Donald S. Mazzulla, O.D.

  • Optometrist
  • North Las Vegas, NV
  • NPI 1194777219
  NPD (past) Authorized official
• Jennifer Anne Wilson, OD

  • Optometrist
  • Tucson, AZ
  • NPI 1326047911
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1234137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274400000000",
    "number": "1184863557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4116 W CRAIG RD",
            "address_2": "STE 104",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890322732",
            "telephone_number": "702-631-2015",
            "fax_number": "702-631-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4116 W CRAIG RD",
            "address_2": "STE 104",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890322732",
            "telephone_number": "702-631-2015",
            "fax_number": "702-631-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT VISION AND EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-09",
        "last_updated": "2010-05-21",
        "status": "A",
        "authorized_official_last_name": "MAZZULLA",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PHYSICIAN/PARTNER",
        "authorized_official_telephone_number": "702-631-2015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NV",
            "license": "231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roselle Deleon Guerrero
• Delhi Independent Living Homes
• Emily Denes, DPT
• Thomas Derrick
• Desert Bloom Speech Therapy PLLC
• Daisy Diaz
• Ylonda Dickerson
• Gwen B Dilla
• Lavenia Dillon
• Dimuro Facilities Services

• Optometrist in N Las Vegas, NV
• Providers in N Las Vegas, NV by specialty
• Optometrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.