Individual
DR. DONALD S. MAZZULLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0231
NV
207W00000X
Ophthalmology Physician
0231
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194777219
INDIVIDUAL NPI
NV
05
—
OD231
—
NV
Enumeration date
05/17/2006
Last updated
02/02/2011
Update your record
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