RYLEY JACK MCMULLIN LICENSED OPTICIAN NPI 1083453534

NPI Information

  • NPI: 1083453534
  • Provider Name: RYLEY JACK MCMULLIN, LICENSED OPTICIAN
  • Classification: Technician/Technologist - 156FX1800X
  • Specialization: Optician
  • Entity Type: Individual
  • Address: 5200 S FORT APACHE RD
    LAS VEGAS, NV
    ZIP 89148
  • Phone: (702) 367-2272

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NPI Details

Ryley Jack Mcmullin, LICENSED OPTICIAN is an optician technician technologist in Las Vegas, NV. The provider is opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy. Ryley Jack Mcmullin, LICENSED OPTICIAN NPI is 1083453534. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5200 S FORT APACHE RD
LAS VEGAS, NV
ZIP 89148-722
Phone: (702) 367-2272
Fax: (702) 367-2787

The enumeration date for this NPI number is 5/23/2024 and was last updated on 5/23/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1156FX1800XTechnician/TechnologistOptician474NEVADAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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