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DR. DONALD S. MAZZULLA O.D.
NPI 1194777219
Optometrist in North Las Vegas, NV

Active since May 17, 2006
4116 W CRAIG RD, #104, NORTH LAS VEGAS, NV 89032(702) 631-2015(702) 631-2511 Get Directions Write a Review

NPPES record last updated: February 2, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Donald S. Mazzulla O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DONALD S. MAZZULLA O.D. (NPI 1194777219) is an individual optometrist in North Las Vegas, Nevada, licensed in Nevada (0231) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1194777219
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. DONALD S. MAZZULLACredential: O.D.
Location Address4116 W CRAIG RD, #104North Las Vegas, NV 89032
Mailing Address8724 Azure Sky DrLas Vegas, NV 89129-2223 · (702) 631-2015 · Fax (702) 631-2511
Phone(702) 631-2015
Fax(702) 631-2511
Sole ProprietorYes
Enumeration DateMay 17, 2006
Last NPPES UpdateFebruary 2, 2011
✔ NPI 1194777219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in NV · 0231
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Also ListedOphthalmologyTaxonomy 207W00000X · License 0231 (NV)
4116 W CRAIG RD, North Las Vegas, NV 89032
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Other Identifiers 5

MedicaidOD231NV
Medicare UPINT37196
Other1194777219NV · Individual Npi
Medicare PINDX280ZNV
Medicare PINDX281ANV

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DESERT VISION AND EYE CARE
Optometrist
4116 W CRAIG RD, STE 104
N LAS VEGAS, NV 89032
Clark County (702) 631-2015
DR. RACHEL BROOKS DC
Chiropractor
4116 W CRAIG RD
NORTH LAS VEGAS, NV 89032
Clark County (702) 655-1199
DR. BRIAN K. FIFE, INC
Chiropractor
4116 W CRAIG RD, SUITE 100
N LAS VEGAS, NV 89032
Clark County (702) 655-1199
DR. BRIAN K. FIFE D.C.
Chiropractor
4116 W CRAIG RD, SUITE 100
N LAS VEGAS, NV 89032
Clark County (702) 655-1199

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Donald Mazzulla's NPI number?

The NPI number for Donald Mazzulla is 1194777219. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Where is Donald Mazzulla located?

Donald Mazzulla practices at 4116 W Craig Rd #104, North Las Vegas, NV 89032. The listed phone number is (702) 631-2015.

What is Donald Mazzulla's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Donald Mazzulla was last updated on February 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.