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Contact Information

NICOLE CLARK, LDO
3950 W LAKE MEAD BLVD
NORTH LAS VEGAS, NV89032-4895
 Phone: 702-631-8472
 Fax: 702-631-9417
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optician

156FX1800X 96[5] Optician
Indicates primary specialty

NPI Profile & details for NICOLE CLARK · (Female)

NPI # 1902699499
Status Active
Credentials LDO
Entity Individual
Enumeration date 05/27/2025
Last updated 05/27/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • NV License # 527
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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