Provider Demographics
NPI:1144387309
Name:NYON, PAMELA (OD)
Entity Type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:
Last Name:NYON
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3041 N RAINBOW BLVD
Mailing Address - Street 2:STE. 1
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89108-4577
Mailing Address - Country:US
Mailing Address - Phone:702-645-8573
Mailing Address - Fax:702-839-5386
Practice Address - Street 1:3041 N RAINBOW BLVD
Practice Address - Street 2:STE. 1
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89108-4577
Practice Address - Country:US
Practice Address - Phone:702-645-8573
Practice Address - Fax:702-839-5386
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2010-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV505152W00000X
CA12635 T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist