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Contact Information

MARK M MYERS JR
300 E LAKE MEAD PKWY
HENDERSON, NV89015-5576
 Phone: 702-564-7582
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optician

156FX1800X 96[5] Optician
Indicates primary specialty

NPI Profile & details for MARK M MYERS JR · (Male)

NPI # 1407640576
Status Active
Credentials
Entity Individual
Enumeration date 04/05/2025
Last updated 04/05/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • NV License # 449
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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