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is a medicare enrolled "Clinic/center - Ophthalmologic Surgery" provider in Las Vegas, Nevada. Their current practice location is 6450 Medical Center St, #100, Las Vegas, Nevada. You can reach out to their office (for appointments etc.) via phone at (702) 304-9494.

is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1881611887.

Contact Information

6450 Medical Center St, #100,
Las Vegas, NV 89148-2405
(702) 304-9494
(702) 304-9495

Map and Direction




Healthcare Provider's Profile

Full Name
TypeFacility
SpecialityClinic/center - Ophthalmologic Surgery
Location6450 Medical Center St, Las Vegas, Nevada
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1881611887
  • Provider Enumeration Date: 07/16/2006
  • Last Update Date: 10/15/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 3274597265
  • Enrollment ID: O20041118000912

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881611887NPI-NPPES
002018382MedicaidNV

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152WC0802XOptometrist - Corneal And Contact Management 9777 (Nevada)Secondary
261QS0132XClinic/center - Ophthalmologic Surgery (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
Provider NameJack Abrams
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1780684571
PECOS PAC ID: 0244294247
Enrollment ID: I20041119000207
Provider NameTapan R Shah
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1508820200
PECOS PAC ID: 5496769598
Enrollment ID: I20110111000296
Provider NameChristopher Patrick Depalo
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1760438238
PECOS PAC ID: 1850373093
Enrollment ID: I20131205000585
Provider NameAndrew Khoa Vinh Tran
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1841726106
PECOS PAC ID: 1052710175
Enrollment ID: I20220818001857

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

4800 N 22nd St Ste 200,
Phoenix, AZ 85016-4963

Ph: () -
6450 Medical Center St, #100,
Las Vegas, NV 89148-2405

Ph: (702) 304-9494

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.