Nicole Clark, LDO

NPI 1902699499 · on the registry since 2025

Practice

Address: 3950 W Lake Mead Blvd
North Las Vegas, NV 89032
Phone: (702) 631-8472
Fax: (702) 631-9417
Organisation at this address: Walmart Inc.
Wal-Mart Stores, Inc. Dba Wal-Mart
Michael Vathanasaynee, O.D. Professional Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 156FX1800X
156FX1800X
Licence states on file: NV
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2025-05-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nevada